Wilson, Cornelius A
Wilson, Cornelius A is an sole proprietor health care provider with primary practice located at 12739 Woodforest Blvd Ste 2 , Houston TX 77015-2737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Wilson, Cornelius A can be contacted via phone (713) 450-4455.Contact Information
Primary practice address
12739 Woodforest Blvd Ste 2
Houston TX 77015-2737
Phone: (713) 450-4455
Fax: (713) 450-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | J2845 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J2845 | Texas |
Profile Details
| NPI number | 1215032586 |
|---|---|
| LBN Legal business name | Wilson, Cornelius A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Mar 9th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215032586 | NPPES |
| Texas | MEDICAID | 137938013 | |
| Texas | Other | 87622Z | |
| Texas | Other | 2242072 | |
| Texas | Other | 8AJ396 |
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