person
Mr. Milton Evans Willis, PA
Medical Physician Assistant in Winnie, Texas
NPI 1881635019

Milton Evans Willis is a Medical Physician Assistant based in Winnie, TX and is specialized in Medical. Milton Evans Willis practices in Winnie, TX and has the professional credentials of PA. The NPI Number for Milton Evans Willis is 1881635019 and holds a License No. PA00964 (Texas).

The current practice location address for Milton Evans Willis is 538 Broadway, Winnie, TX and can be reached out via phone at 409-296-9505 and via fax at 409-296-2506.

Location: 538 Broadway, Winnie, TX, 77665-0714
person
Provider Profile Details
NPI Number
1881635019
Provider Name
Milton Evans Willis
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
538 Broadway, Winnie, TX, 77665-0714
Phone Number
409-296-9505
Fax Number
409-296-2506
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y1053 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
538 Broadway
City
State
Zip
77665-7600
Phone Number
409-296-9505
Fax Number
409-296-2506
person
Provider Business Mailing Address Details
Address
538 Broadway
City
State
Zip
77665-7600
Phone Number
409-296-9505
Fax Number
409-296-2506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00964 (Texas)
Definition
Definition to come...
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