Individual
JASON S. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4770 REGENT BLVD, IRVING, TX 75063-2445
(972) 934-4300
Mailing address
3213 DREXEL DRIVE, SUITE 400, DALLAS, TX 75205
(214) 437-7975
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N9146
TX
Other
Enumeration date
06/11/2007
Last updated
01/14/2019
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