Wilson, Ismay Vivienne

Wilson, Ismay Vivienne is an individual health care provider with primary practice located at 1500 Citywest Blvd Ste. 300, Houston TX 77042-2300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilson, Ismay Vivienne can be contacted via phone (713) 620-4000.

Contact Information

Primary practice address
1500 Citywest Blvd Ste. 300 Houston TX 77042-2300
Phone: (713) 620-4000
Fax: (713) 458-4229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP101105 Texas

Profile Details

NPI number 1376527416
LBN Legal business name Wilson, Ismay Vivienne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 16th, 2017 - about 6 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376527416 NPPES
Texas MEDICAID 109672910
Texas Other P00132013
Texas MEDICAID 109672909
Texas MEDICAID 109672904
Texas Other 85186U
Texas Other P00891220
Texas Other 83979U

Popular Providers