Willingham, David Barry

Willingham, David Barry is an individual health care provider with primary practice located at 4222 Wendover Ave Suite 600, Odessa TX 79762-5945. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Willingham, David Barry can be contacted via phone (432) 552-5656.

Contact Information

Primary practice address
4222 Wendover Ave Suite 600 Odessa TX 79762-5945
Phone: (432) 552-5656
Fax: (432) 552-0992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X H0947 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X H9047 Texas

Profile Details

NPI number 1467441642
LBN Legal business name Willingham, David Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 2nd, 2010 - about 15 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 1467441642 NPPES
Texas Other 8J3983 BCBS PROVIDER NUMBER
Texas Other H0947 BCBS PROVIDER NUMBER

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