Individual
BRANDON KEITH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9558
(806) 414-9558
Mailing address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9558
(806) 354-9558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1109803
TX
Other
Enumeration date
01/31/2023
Last updated
07/02/2024
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