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Individual

DR. HALE EDWARD WILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301084031
MI
2086S0120X
Pediatric Surgery Physician
Primary
S7580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3118861
NH
05
6701764
VT
Enumeration date
05/27/2007
Last updated
08/20/2020
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