Elizabeth Dupree Wilson, PAC

Physician assistant in Tyler, Texas · NPI 1174765895

Elizabeth Wilson is one of 211 physician assistants practicing in Tyler, Texas. Elizabeth Wilson practices with Oliver Street 5.01(A) Inc.

Registry record (NPPES)

NPI
1174765895
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
520 N Main St
Lindale, TX 75771-6424
(903) 534-6200
Enumerated
Mar 26, 2009
Record last updated
Jul 21, 2022
License states listed
TX

Medicare (CMS)

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

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Practice locations

More physician assistants 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.