Teicha Wilson
MD | Pediatric Neonatal-Perinatal Medicine | Female
Teicha Wilson, MD is a Gallup, New Mexico based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Teicha Wilson is
2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, New Mexico - 87301-5600. She can be contacted on phone at
505-863-1820.
Teicha Wilson is a sole proprietor of her business.
NPI number (Unique professional ID) for Teicha Wilson is
1306818125 which was assigned by NPPES on 06 Feb, 2006 and it was last updated on 28 Jan, 2014.
Teicha Wilson license number is
MD60027915 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Washington.
Teicha Wilson is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Teicha Wilson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Teicha Wilson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Teicha Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2111 College Dr, Rehoboth Mckinley Christian Health Care Services
Gallup, NM, 87301-5600
United States |
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| Phone Number : | 505-863-1820 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306818125 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Feb, 2006 |
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| Last Updated On : | 28 Jan, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Teicha Wilson are as mentioned. Primary taxonomy code for Teicha Wilson, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD2004-0819 | NM |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD60027915 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Teicha Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| NM009W12 | Other | NM | BCBS |
| QMYPR0068268 | Other | | MOLINA |
| 953126 | MEDICAID | AZ | |
| 202000082 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 10019728 | Other | NM | LOVELACE HEALTH/SALUD |
| 42378516 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1901 Redrock Dr, Pfs Dept
Gallup, NM, 87301-5683
United States |
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| Phone Number : | 505-863-7000 |
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Business Location:
Patients can refer following map for directions to
Teicha Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.