Mrs. Tisha Lique Wilson
Mrs. Tisha Lique Wilson is a Durable Medical Equipment & Medical Supplies in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2025
Practice location Address checks out
1231 Austin Hwy Ste 103San Antonio, TX 78209-4982
Phone: (504) 385-5751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 1551189 (TX) |
|---|
Record details
| NPI number | 1861373532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2025 |
| Last updated in NPPES | September 10, 2025 |
| Certification date | September 10, 2025 |
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