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

Keith C Wilson, LSA

Individual provider Surgical Assistant · NPI 1467604744

Keith C Wilson, LSA is a Surgical Assistant in Fresno, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

2503 Robin Knoll Ct
Fresno, TX 77545-8167
Phone: (281) 509-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00410 (TX)

Record details

NPI number1467604744
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESOctober 31, 2016
Mailing address2503 Robin Knoll Ct, Fresno, TX 77545-8167

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