Willis, Harold

Willis, Harold is an sole proprietor health care provider with primary practice located at 2304 Bardin Rd Suite 202, Grand Prairie TX 75052-3850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Willis, Harold can be contacted via phone (682) 622-6013.

Contact Information

Primary practice address
2304 Bardin Rd Suite 202 Grand Prairie TX 75052-3850
Phone: (682) 622-6013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9398 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 73141 Texas

Profile Details

NPI number 1528451234
LBN Legal business name Willis, Harold
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2015
Last updated Mar 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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