MEDICARE: DR. JOY DENISE WILSON M.D.

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	207Q00000X	Family Medicine Physician	14863	ND
2	207Q00000X	Family Medicine Physician	312076	LA
3	207Q00000X	Family Medicine Physician	04-40039	KS
4	207Q00000X	Family Medicine Physician	25330	MS
5	207Q00000X	Family Medicine Physician	10615	SD
6	207Q00000X	Family Medicine Physician	67756-20	WI
7	207Q00000X	Family Medicine Physician	M5586	TX
8	207Q00000X	Family Medicine Physician	30219	NE
9	207Q00000X	Family Medicine Physician	MD.36109	AL
10	207Q00000X	Family Medicine Physician	2017023778	MO
11	207Q00000X	Family Medicine Physician	32823	OK
12	207Q00000X	Family Medicine Physician	036143944	IL
13	207Q00000X	Family Medicine Physician	10378410-1205	UT
14	207Q00000X	Family Medicine Physician	MD-44742	IA
15	207Q00000X	Family Medicine Physician	62772	MN

General Provider Information

NPI Number	:	1922159896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY DENISE WILSON M.D.

Provider Business Mailing Address
First Line	:	5015 S IH 35
Second Line	:	SUITE 174
City	:	AUSTIN
State	:	TX
Zip	:	78744-2713
Country	:	US
Telephone Number	:	512-804-3202
Fax Number	:	512-901-9717

Provider Business Practice Location Address
First Line	:	5015 S IH 35
Second Line	:	SUITE 174
City	:	AUSTIN
State	:	TX
Zip	:	78744-2713
Country	:	US
Telephone Number	:	512-804-3202
Fax Number	:	512-901-9717

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	03/15/2026

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