NPI age
20 years
Enumerated 2005-12-09
● Active
Type 1 · Individual
Carmen R. Wilson, MD
Wilson is 1 of 437 pediatrics providers in Dallas and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
3320 Live Oak St, East Dallas Health Center
Dallas, TX 752046109
Mailing address
Po Box 660599
Dallas, TX 752660599
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 139450402 | |
| 05 (TX) | 139450404 | |
| 05 (TX) | 139450410 | |
| 05 (TX) | 139450416 | |
| 05 (TX) | 139450408 | |
| 05 (TX) | 139450411 | |
| 05 (TX) | 139450412 | |
| 05 (TX) | 139450406 | |
| 05 (TX) | 139450415 | |
| 05 (TX) | 139450403 | |
| 05 (TX) | 139450414 | |
| 05 (TX) | 139450409 | |
| 01 (TX) | 89G970 | BLUE CROSS BLUE SHIELD |
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.