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Individual
DR. SAMUEL ERIC WILLIS
Active
Individual
DR. SAMUEL ERIC WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00457331
MEDICARE RAILROAD
TX
Enumeration date
01/03/2007
Last updated
05/16/2025
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