Willms, Richard Kenneth

Willms, Richard Kenneth is an sole proprietor health care provider with primary practice located at 14565 Cr 1113 , Tyler TX 75703-9551. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Willms, Richard Kenneth can be contacted via phone (903) 595-3728.

Contact Information

Primary practice address
14565 Cr 1113 Tyler TX 75703-9551
Phone: (903) 595-3728
Fax: (903) 595-0333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C8691 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X C8691 Texas

Profile Details

NPI number 1629087663
LBN Legal business name Willms, Richard Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629087663 NPPES
Texas MEDICAID 110137001

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