MR. CREIGHTON GERALD WILSON JR.


Address: 1600 University Dr E, College Station, TX 77840-2642
Phone: 9796913300

MR. CREIGHTON GERALD WILSON JR. (NPI# 1871889618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871889618
Entity Type Individual
Full Name MR. CREIGHTON GERALD WILSON JR.
Credential N.P.-C
Practice Address 1600 University Dr E
College Station
TX 77840-2642
Practice Telephone 9796913300
Mailing Telephone 9796913300
Enumeration Date 2011-06-21
Last Update Date 2011-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
737316 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1600 UNIVERSITY DR E
City COLLEGE STATION
State TX
Zip Code 77840-2642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649239062 D. Brent Glamann Internal Medicine 1600 University Dr E, College Station, TX 77840-2642 2006-03-23
1508290818 Emily Worthy Psychologist 1600 University Dr E, College Station, TX 77840-2642 2013-08-23
1447697487 Kristin Massicot Smith Nurse Anesthetist, Certified Registered 1600 University Dr E, College Station, TX 77840-2642 2013-05-31
1750640488 Gregory Keith Propst Jr. Physical Therapist 1600 University Dr E, College Station, TX 77840-2642 2012-05-15
1861751596 Lindsey Colleen Propst Physical Therapist 1600 University Dr E, College Station, TX 77840-2642 2012-05-15
1124253695 Nerissa Sookermany-mahon Speech-Language Pathologist 1600 University Dr E, College Station, TX 77840-2642 2009-05-27
1215184890 Megan D Szyhowski Physical Therapist 1600 University Dr E, College Station, TX 77840-2642 2008-08-26
1730340092 Jacquelyn Rose Covington Internal Medicine 1600 University Dr E, College Station, TX 77840-2642 2008-06-19
1912168279 Bill Ray Covington Internal Medicine 1600 University Dr E, College Station, TX 77840-2642 2008-06-19
1194991141 Kerry Hamilton Smith Internal Medicine 1600 University Dr E, College Station, TX 77840-2642 2008-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780159301 Caprock Urgent Care, LLC Clinic/Center 1289 University Dr. East, College Station, TX 77840 2018-10-10
1629586110 Cheyenne M Gehring Specialist/Technologist 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 2018-01-18
1003321712 Stephen Whitt Specialist/Technologist 756 Houston Street, College Station, TX 77840 2017-12-05
1801314406 Leanne Pool Speech-Language Pathologist 1805 Lawyer Place, College Station, TX 77840 2017-09-03
1376996728 Joscelyn Trompeter Specialist/Technologist 117 Holleman Dr, Apt 8103, College Station, TX 77840 2016-07-21
1104297472 E Medical Group of College Station, LLC Home Health 707 Texas Ave S Ste 100a, College Station, TX 77840 2015-10-13
1780004036 Magnified Nursing and Rehabilitation, Lp Skilled Nursing Facility 1115 Anderson Street, College Station, TX 77840 2014-04-24
1306084140 Raidah Saleem Al-baradie Sr. Psychiatry & Neurology 1800 Holleman Drive, College Station, TX 77840 2009-02-02
1427238484 Amanda Kallstrom-fuqua Psychologist 1600 University Drive, College Station, TX 77840 2007-11-07
1124141973 William Wayner Daniels Dentist 303 A East University Drive, College Station, TX 77840 2007-04-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841815511 Erin Price Nurse Practitioner 1721 Birmingham Rd, College Station, TX 77845-4082 2020-06-09
1932733102 Chelsea Elaine Rollins Nurse Practitioner 2515 Cordova Ridge Ct, College Station, TX 77845-8698 2020-02-26
1144885203 Michelle J Vessell Nurse Practitioner 4273 Rocky Rhodes Dr, College Station, TX 77845-4572 2019-05-04
1558810473 Sara Beth Williamson Nurse Practitioner 4401 State Hwy 6 S, College Station, TX 77845 2016-10-04
1356719876 Georgette Kibbe-herring Nurse Practitioner 610 Harvest Dr, College Station, TX 77845-7317 2015-09-15
1851710347 Deepal Shanmugam Nurse Practitioner 4140 Whispering Creek Dr, College Station, TX 77845-6384 2014-04-10
1699024919 Elizabeth Arnell Harrison Nurse Practitioner Tamu 1264, College Station, TX 77843 2012-08-31
1033407176 Cashion and De Leon Nurse Practitioner 1605 Rock Prairie Road Ste 222, College Station, TX 77845 2011-07-11
1689280992 Christina Mapes Nurse Practitioner 18395 Anasazi Bluff Dr, College Station, TX 77845-6158 2020-09-22
1710599923 Rachael Key Nurse Practitioner 13055 Fm 2154 Rd, College Station, TX 77845 2020-08-19
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Competitor

Search similar providers

City COLLEGE STATION
Zip Code 77840

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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