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Organization
MAGGIE WILLIS MSN APRN BC FNP PLLC
Active
Organization
MAGGIE WILLIS MSN APRN BC FNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE WILLIS FNP (OWNER)
(214) 405-0056
Entity
Organization
Contact information
Practice address
206 STORRS ST, ROCKWALL, TX 75087-4006
(972) 772-5000
Mailing address
243 S RIDGEOAK CT, WEATHERFORD, TX 76087-6461
(214) 405-0056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
229222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203420902
—
TX
Enumeration date
10/22/2006
Last updated
05/27/2015
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