Clark Alexander Wilson, MD

Urologist in Tyler, Texas · NPI 1083963334

Clark Wilson is one of 32 urologists practicing in Tyler, Texas. Clark Wilson practices with Etmc Physician Group, Inc.

Registry record (NPPES)

NPI
1083963334
Type
Type 1 · Individual
Primary taxonomy
Urology · 208800000X
Address on file
700 Olympic Plaza Cir Ste 700
Tyler, TX 75701-1954
(032) 623-9009
Enumerated
Sep 2, 2012
Record last updated
Aug 10, 2021
License states listed
OH, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Urology
Revalidation due
No date set by CMS

The registry stops here. NPivot keeps going.

  • Part D prescribing
  • Procedure volumes by CPT code
  • Group affiliations and colleagues
  • Full enrollment history
See the full profile free Free account. No card, no call.

Practice locations

More urologists in Tyler

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.