Destonee Wilson, PA-C

Physician assistant in Houston, Texas · NPI 1174041578

Destonee Wilson is one of 1,419 physician assistants practicing in Houston, Texas. Destonee Wilson practices with Privia Medical Group Gulf Coast PLLC.

Registry record (NPPES)

NPI
1174041578
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
1650 S Beach St
Fort Worth, TX 76105
(817) 702-1100
Enumerated
Sep 6, 2017
Record last updated
Nov 7, 2018
License states listed
TX, UT

Medicare (CMS)

Enrollment
Medicare-enrolled in TX, UT
Physician Assistant
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 physician assistants in Houston

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.