Organization
MAGGIE WILLIS MSN APRN BC FNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE WILLIS FNP (OWNER)
(214) 405-0056
Entity
Organization
Contact information
Practice address
206 STORRS ST, ROCKWALL, TX 75087-4006
(972) 772-5000
Mailing address
243 S RIDGEOAK CT, WEATHERFORD, TX 76087-6461
(214) 405-0056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
229222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203420902
—
TX
Enumeration date
10/22/2006
Last updated
05/27/2015
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