Willis, Thomas Lester

Willis, Thomas Lester is an individual health care provider with primary practice located at 302 Heather St , Lufkin TX 75904-4854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Willis, Thomas Lester can be contacted via phone (936) 637-6522.

Contact Information

Primary practice address
302 Heather St Lufkin TX 75904-4854
Phone: (936) 637-6522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E1447 Texas

Profile Details

NPI number 1104899962
LBN Legal business name Willis, Thomas Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 3rd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104899962 NPPES
Texas MEDICAID 133768505

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