Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TANNER BLAKE WILSON M.D.
NPI 1164871059
Surgery in Dallas, TX

Q: What is Tanner Wilson's NPI number?

The NPI number for Tanner Wilson is 1164871059. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Tanner Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Wilson was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2016

2710 SWISS AVE, DALLAS, TX 75204(214) 821-1599 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Tanner Blake Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANNER BLAKE WILSON M.D. (NPI 1164871059) is an individual surgery provider in Dallas, Texas, licensed in Texas (W2800) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1164871059

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. TANNER BLAKE WILSONCredential: M.D.

Location Address2710 SWISS AVEDallas, TX 75204-5900

Mailing Address2710 Swiss AveDallas, TX 75204-5900 · (214) 821-1599

Phone(214) 821-1599

Sole ProprietorNo

Enumeration DateJune 10, 2016

Last NPPES UpdateJuly 23, 2026

NPPES CertifiedJuly 23, 2026

✔ NPI 1164871059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · W2800

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2710 SWISS AVE, Dallas, TX 75204

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