Individual
MRS. DIANA G. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
844 JAQUET DR, BELLAIRE, TX 77401-2815
(713) 665-4482
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1021216
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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