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Individual

FATEMA WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7808 CLODUS FIELDS DR, EMERGENCY PSYCHIATRIC MEDICINE, DALLAS, TX 75251-2206
(972) 770-1000
Mailing address
7808 CLODUS FIELDS DR., EMERGENCY PSYCHIATRIC MEDICINE, DALLAS, TX 75251
(972) 770-1000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M8875
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0026073
INSTITUTIONAL PERMIT
Enumeration date
06/12/2007
Last updated
02/13/2014
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