Dr. John Willis
Rheumatology
712 N Washington Ave Suite 300
Dallas
, Texas 75246-1619
Dr. John Willis
Rheumatology
712 N Washington Ave Suite 300
Dallas
, Texas 75246-1619
(214) 826-0605
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. John Willis
- 712 N Washington Ave Suite 300
- Dallas, TX
- Zip : 75246-1619
- Fax : (214) 826-0605
- Phone : (214) 823-6503
Second Address
- Dr. John Willis
- 712 N Washington Ave Suite 300
- Dallas, TX
- Zip : 75246-1619
- Fax : (214) 826-0605
- Phone : (214) 823-6503
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | F27883 | TX |
National Provider Identifier
| NPI | 1093730160 |
|---|---|
| Provider Name | Dr. John Willis |
| First Address | Dallas, TX 75246-1619 |
| Second Address | Dallas, TX 75246-1619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 02/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CP7207 | MEDICARE RAILROAD (01) | TX |
| F27883 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.