Individual
DR. MAX HUGH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7744 BROADWAY, SUITE 105, SAN ANTONIO, TX 78209
(210) 822-3966
(210) 822-7542
Mailing address
7744 BROADWAY, SUITE 105, SAN ANTONIO, TX 78209
(210) 822-3966
(210) 822-7542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-2717
TX
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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