Individual
MR. CARL AUSTIN WILLEFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2702 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2922
(936) 221-5138
(936) 221-5150
Mailing address
2702 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2922
(936) 221-5138
(936) 221-5150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP114322
TX
Other
Enumeration date
05/18/2006
Last updated
05/22/2025
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