Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
RANDALL WILLIS
Active
Individual
RANDALL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169033101
—
TX
01
—
45-4849
MEDICARE
TX
Enumeration date
01/26/2009
Last updated
11/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up