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Jake Wilson is one of 250 gastroenterologists practicing in Dallas, Texas .
Jake Wilson practices with University Of Texas Southwestern Medical Center At Dallas.
Registry record (NPPES)
NPI
1245792357
Type
Type 1 · Individual
Primary taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Address on file
171 Ashley Ave Charleston, SC 29425-0100 (843) 792-1414
Enumerated
Apr 5, 2019
Record last updated
Jul 10, 2026
License states listed
SC
Medicare (CMS)
Enrollment
Medicare-enrolled in SC, TXGastroenterology
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
6201 Harry Hines Blvd Stop Suite 9201
Dallas , TX 75390
(214) 645-8300
More gastroenterologists in Dallas
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.
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