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Walter Willis
Other Specialist/Technologist in Frankston, Texas
NPI 1225398654

Walter Willis is a Other Specialist/Technologist based in Frankston, TX. Walter Willis practices in Frankston, TX. The NPI Number for Walter Willis is 1225398654 and holds a License No. 6836 (Texas).

The current practice location address for Walter Willis is 22451 Cherry Ln, Frankston, TX and can be reached out via phone at 800-679-8010 and via fax at 903-825-6099.

Location: 22451 Cherry Ln, Frankston, TX, 75763-4329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225398654
Provider Name
Walter Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
22451 Cherry Ln, Frankston, TX, 75763-4329
Phone Number
800-679-8010
Fax Number
903-825-6099
Provider Enumeration Date
05/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09050686 01 TX TX DEPT OF PUBLIC SAFETY
institution
Provider Business Practice Location Address Details
Address
22451 Cherry Ln
City
Frankston
State
Texas
Zip
75763-4329
Phone Number
800-679-8010
Fax Number
903-825-6099
person
Provider Business Mailing Address Details
Address
22451 Cherry Ln
City
Frankston
State
Texas
Zip
75763-4329
Phone Number
800-679-8010
Fax Number
903-825-6099
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
6836 (Texas)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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