Organization
DAN A. WILLIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN A WILLIS M.D. (PRESIDENT)
(817) 877-5382
Entity
Organization
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 670, FORT WORTH, TX 76104-2133
(817) 877-5382
(817) 877-3992
Mailing address
1325 PENNSYLVANIA AVE STE 670, FORT WORTH, TX 76104-2133
(817) 877-5382
(817) 877-3992
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E2944
TX
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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