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

Tarah E Wilson, PA

Individual provider Physician Assistant · NPI 1548735228

Tarah E Wilson, PA is a Physician Assistant in San Antonio, Texas. Qualified in 2018, 8 years ago. Practices with Cardiology Clinic of San Antonio, PLLC, a 123-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4411 Medical Dr Ste 120
San Antonio, TX 78229-3829
Phone: (210) 614-5400
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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 PA12496 (TX)
Physician Assistant Taxonomy 363A00000X (TX)

Record details

NPI number1548735228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address4411 Medical Dr Ste 120, San Antonio, TX 78229-3829

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cardiology Clinic Of San Antonio, Pllc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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