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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295862431 | NPPES |
Texas | Other | 00R03P | BCBS |
Texas | MEDICAID | 162314201 | BCBS |
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