Provider Demographics
NPI:1841661113
Name:WILSON ALMONTE, MD, PLLC
Entity type:Organization
Organization Name:WILSON ALMONTE, MD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-575-2882
Mailing Address - Street 1:6902 NE ZAC LENTZ PKWY
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3441
Mailing Address - Country:US
Mailing Address - Phone:361-575-2882
Mailing Address - Fax:361-574-9710
Practice Address - Street 1:6902 NE ZAC LENTZ PKWY
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3441
Practice Address - Country:US
Practice Address - Phone:361-575-2882
Practice Address - Fax:361-574-9710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6319208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX473618Medicare PIN