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Jonathan Willis, MD
Family Medicine Physician in Waco, Texas
NPI 1437538162

Jonathan Willis is a Family Medicine Physician based in Dallas, TX. Jonathan Willis practices in Waco, TX and has the professional credentials of MD. The NPI Number for Jonathan Willis is 1437538162 and holds a License No. BP10053880 (Texas).

The current practice location address for Jonathan Willis is 851 N Loop 340, Waco, TX and can be reached out via phone at 254-202-7500 and via fax at 254-202-7599. You can also correspond with Jonathan Willis through the mailing address at PO BOX 848476, DALLAS, TX - 75284-8476 (mailing address contact number: 254-202-4655).

Location: 851 N Loop 340, Waco, TX, 75284-8476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437538162
Provider Name
Jonathan Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
851 N Loop 340, Waco, TX, 75284-8476
Phone Number
254-202-7500
Fax Number
254-202-7599
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
851 N Loop 340
City
Waco
State
Texas
Zip
76705-2592
Phone Number
254-202-7500
Fax Number
254-202-7599
person
Provider Business Mailing Address Details
Address
Po Box 848476
City
Dallas
State
Texas
Zip
75284-8476
Phone Number
254-202-4655
Fax Number
254-202-4697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R0157 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10053880 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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