Willis, Tyler

Willis, Tyler is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Willis, Tyler can be contacted via phone (903) 606-7264.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P7726 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X P7726 Texas

Profile Details

NPI number 1134481914
LBN Legal business name Willis, Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Apr 5th, 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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