Charles E. Willis Ii, M.D., P.A.

LBN: Charles E. Willis Ii, M.D., P.A.
Charles E. Willis Ii, M.D., P.A. is an health care organization with primary practice located at 5201 S Westmoreland Rd , Dallas TX 75237-1622. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Charles E. Willis Ii, M.D., P.A. can be contacted via phone (214) 623-0550, or through Willis, Charles E. via phone (214) 623-0550.

Contact Information

Primary practice address
5201 S Westmoreland Rd Dallas TX 75237-1622
Phone: (214) 623-0550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Willis, Charles E. Doctor of Medicine (MD)
Phone: (214) 623-0550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X J0365 Texas

Profile Details

NPI number 1295862431
LBN Legal business name Charles E. Willis Ii, M.D., P.A.
DBA Doing business as
Authorized official Willis, Charles E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated May 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295862431 NPPES
Texas Other 00R03P BCBS
Texas MEDICAID 162314201 BCBS

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