MEDICARE: ERICA MICHELLE 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	363A00000X	Physician Assistant	PA20491	TX

General Provider Information

NPI Number	:	1740138270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MICHELLE WILSON

Provider Business Mailing Address
First Line	:	11521 N FM 620 RD STE 945
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78726-1115
Country	:	US
Telephone Number	:	512-318-2559
Fax Number	:	512-782-9316

Provider Business Practice Location Address
First Line	:	1220 W LOUIS HENNA BLVD
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2300
Country	:	US
Telephone Number	:	512-516-8800
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	06/01/2026

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Directions to “ ERICA MICHELLE WILSON ” Practice Location

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