Individual
JACK K WILLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4060 MEDICAL PARK DR # A, ODESSA, TX 79765-2233
(432) 582-2882
(432) 582-2884
Mailing address
4060 MEDICAL PARK DR, ODESSA, TX 79765-2233
(432) 582-2882
(432) 582-2884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05950
TX
Other
Enumeration date
10/21/2008
Last updated
12/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us