Willeford, Carl Austin

Willeford, Carl Austin is an individual health care provider with primary practice located at 1018 N Mound St Ste 203 , Nacogdoches TX 75961-4434. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Willeford, Carl Austin can be contacted via phone (936) 569-4150.

Contact Information

Primary practice address
1018 N Mound St Ste 203 Nacogdoches TX 75961-4434
Fax: (936) 569-4155
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 631071 Texas

Profile Details

NPI number 1063465409
LBN Legal business name Willeford, Carl Austin
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 21st, 2022 - about 2 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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