Mr. Russell Carl Wilson, PA-C, ATC
Mr. Russell Carl Wilson, PA-C, ATC is a Physician Assistant in Allen, Texas. Qualified in 2010, 16 years ago. Practices with Medhealth, a 437-clinician group and accepts Medicare assignment. Licensed in Colorado, Nebraska and Texas.
- Years since qualifying
- 16
- Licensed in
- CO, NE, TX
- In the registry since
- 2005
- Specialties on file
- 5
What do these letters mean?
Practice location Address checks out
1125 Raintree Cir Ste 100Allen, TX 75013-5289
Phone: (972) 727-9995
Fax: (972) 727-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA06802 (TX) |
|---|---|
| Paramedic | Taxonomy 146L00000X · Licence 45448 (TX) |
| Athletic Trainer | Taxonomy 2255A2300X · Licence 020202111 (NE) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA.0005767 (CO) |
| Physician Assistant | Taxonomy 363A00000X · Licence 1092900 (TX) |
Record details
| NPI number | 1780675967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C , ATC |
| Sole proprietor | No |
| NPI enumerated | November 4, 2005 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Medhealth — 437 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Allen
-
Allen Fire Department
310 Century Pkwy, Allen, TX 75013-8048 · (214) 509-4400