Individual
JAMES WESLEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-7566
Mailing address
532 DOMINO FIVE, SEGUIN, TX 78155-8119
(210) 269-9925
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
536810
TX
Other
Enumeration date
08/03/2006
Last updated
05/10/2018
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