Individual
DAVID JAMES WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13915 BURNET RD, AUSTIN, TX 78728-6517
(512) 996-9559
Mailing address
3007 ANTELOPE TRL APT 146, TEMPLE, TX 76504-3803
(254) 541-3806
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
151375
TX
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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