Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tanner Blake Wilson, MD

Individual provider Surgery Physician · NPI 1164871059

Dr. Tanner Blake Wilson, MD is a Surgery Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2710 Swiss Ave
Dallas, TX 75204-5900
Phone: (214) 821-1599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence W2800 (TX)

Record details

NPI number1164871059
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address2710 Swiss Ave, Dallas, TX 75204-5900

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