MEDICARE: DR. FRED H WILSON III DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	14592	TX

General Provider Information

NPI Number	:	1811049570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED H WILSON III DDS

Provider Business Mailing Address
First Line	:	PO BOX 2225
Second Line	:	1395 SATTLER RD #4
City	:	CANYON LAKE
State	:	TX
Zip	:	78133-0009
Country	:	US
Telephone Number	:	830-964-3161
Fax Number	:	830-226-5019

Provider Business Practice Location Address
First Line	:	1395 SATTLER RD STE 4
Second Line	:
City	:	CANYON LAKE
State	:	TX
Zip	:	78132-2296
Country	:	US
Telephone Number	:	830-964-3161
Fax Number	:	830-226-5019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1033287107 — JOSE ANGEL MARTINEZ JR. PA-C
Practice Location Address:

1395 SATTLER RD STE 6
CANYON LAKE, TX
78132-2296

Practice Phone: 830-964-5575
Practice Fax: 830-964-2294

1013565639 — DR. JOSEPHINE A THAN PHARMD
Practice Location Address:

1395 SATTLER RD STE 8
CANYON LAKE, TX
78132-2296

Practice Phone: 830-964-3615
Practice Fax:

1689284960 — DR. JAMES RAYMOND NOTTE
Practice Location Address:

1395 SATTLER RD STE 8
CANYON LAKE, TX
78132-2296

Practice Phone: 830-964-3615
Practice Fax:

1598598492 — ALYSSA HANSON N.P.
Practice Location Address:

1395 SATTLER RD STE 6
CANYON LAKE, TX
78132-2296

Practice Phone: 830-964-5555
Practice Fax:

1932199148 — CANYON LAKE FIRE/EMS
Practice Location Address:

1425 SATTLER RD
CANYON LAKE, TX
78132-2213

Practice Phone: 830-907-2922
Practice Fax: 830-907-2408

1801859129 — DAVID MORGAN PETERSON PA-C
Practice Location Address:

1395 SATTLER RD , SUITE 6
CANYON LAKE, TX
78132-2295

Practice Phone: 830-904-4311
Practice Fax: 830-885-5541

Directions to “ DR. FRED H WILSON III DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.