MEDICARE: DR. STEPHANIE IVY WILSON

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	122300000X	Dentist	27056	TX

General Provider Information

NPI Number	:	1396031654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE IVY WILSON

Provider Business Mailing Address
First Line	:	3091 COLLEGE PARK DR
Second Line	:	SUITE #125
City	:	CONROE
State	:	TX
Zip	:	77384-8023
Country	:	US
Telephone Number	:	832-326-3286
Fax Number	:

Provider Business Practice Location Address
First Line	:	3091 COLLEGE PARK DR
Second Line	:	SUITE #125
City	:	CONROE
State	:	TX
Zip	:	77384-8023
Country	:	US
Telephone Number	:	832-326-3286
Fax Number	:

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

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	09/01/2011

Similar Medicare Providers

1568415529 — E PLUS PET IMAGING VIII LP
Practice Location Address:

3091 COLLEGE PARK DR , SUITE 340
THE WOODLANDS, TX
77384-8023

Practice Phone: 936-271-4060
Practice Fax: 936-271-4063

1366480733 — H T ENTERPRISES INC
Practice Location Address:

3091 COLLEGE PARK DR , SUITE 300
THE WOODLANDS, TX
77384-8023

Practice Phone: 936-321-1511
Practice Fax: 936-271-3512

1982775110 — DR. SARAH MARGARET VALLERY O.D.
Practice Location Address:

3091 COLLEGE PARK DR , SUITE 275
THE WOODLANDS, TX
77384-8023

Practice Phone: 936-271-4444
Practice Fax: 936-271-4580

1639529993 — 911 FIRST SURGICAL ASSISTANT
Practice Location Address:

3091 COLLEGE PARK DR , SUITE 240-71
THE WOODLANDS, TX
77384-8023

Practice Phone: 281-653-2924
Practice Fax: 832-478-9266

1487517322 — PROFESIONAL HANDS HEALTHCARE LLC
Practice Location Address:

2525 GRAYLING DR
CONROE, TX
77384-2253

Practice Phone: 954-554-0108
Practice Fax:

1295698009 — BLESSING D NEBEOLISA RN, WCN-C CSWD-C
Practice Location Address:

4714 FM 1488 RD
CONROE, TX
77384-4928

Practice Phone: 281-673-0725
Practice Fax:

Directions to “ DR. STEPHANIE IVY WILSON ” 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.