Willoughby, Gloria E

Willoughby, Gloria E is an individual health care provider with primary practice located at 150 Pine Forest Dr Suite 110, Shenandoah TX 77384-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willoughby, Gloria E can be contacted via phone (281) 709-2555.

Contact Information

Primary practice address
150 Pine Forest Dr Suite 110 Shenandoah TX 77384-5302
Phone: (281) 709-2555
Fax: (281) 440-9915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 651038 Texas

Profile Details

NPI number 1831143627
LBN Legal business name Willoughby, Gloria E
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 26th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831143627 NPPES
Texas MEDICAID 152611302
Texas MEDICAID 187619502
Texas MEDICAID 187619501
Texas MEDICAID 152611301

Popular Providers