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Organization
WILLIS, HALTER AND ASSOCIATES
Active
Organization
WILLIS, HALTER AND ASSOCIATES
Active
Other names
Diagnostic Associates of Lukfin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LESTER WILLIS M D (PRESIDENT)
(936) 634-7522
Entity
Organization
Contact information
Practice address
402 GASLIGHT BLVD, LUFKIN, TX 75904-3123
(936) 634-7522
(936) 639-4549
Mailing address
402 GASLIGHT BLVD, LUFKIN, TX 75904-3123
(936) 634-7522
(936) 639-4549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0080941103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083161201
—
TX
Enumeration date
07/21/2006
Last updated
08/04/2010
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