Individual
DOROTHY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 571387, HOUSTON, TX 77257-1387
(713) 620-4000
(713) 458-4229
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H0948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83P622
BCBS
TX
Enumeration date
11/29/2005
Last updated
07/29/2009
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