# WILLIS MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639445927
- **Authorized official:** MELINDA WILLIS MD (OWNER)
- **Authorized official phone:** (318) 263-4701

## Contact information

- **Practice address:** 600 FACTORY OUTLET DR, STE 12, ARCADIA, LA 71001-3057
- **Practice address phone:** (318) 263-4701
- **Mailing address:** 600 FACTORY OUTLET DR, STE 12, ARCADIA, LA 71001-3057
- **Mailing address phone:** (318) 263-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012