Willis, Jack K

Willis, Jack K is an individual health care provider with primary practice located at 407 Kent St , Midland TX 79701-5858. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Willis, Jack K can be contacted via phone (432) 687-2273.

Contact Information

Primary practice address
407 Kent St Midland TX 79701-5858
Phone: (432) 687-2273
Fax: (432) 687-1016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05950 Texas

Profile Details

NPI number 1063664183
LBN Legal business name Willis, Jack K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Aug 6th, 2015 - 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.

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