MEDICARE: LAUREN WILSON MD

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1285521286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN WILSON MD

Provider Business Mailing Address
First Line	:	2211 NORFOLK ST STE 455
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4119
Country	:	US
Telephone Number	:	832-534-0526
Fax Number	:	918-398-9256

Provider Business Practice Location Address
First Line	:	2211 NORFOLK ST STE 455
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4119
Country	:	US
Telephone Number	:	832-534-0526
Fax Number	:	918-398-9256

Authorized Official
Title or Position	:	PSYCHIATRIST, OWNER
Name	:	DR. LAUREN WILSON
Credential	:	MD
Telephone Number	:	832-534-0526

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	09/19/2025

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