Organization
BARRY G WILLENS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY G WILLENS MD PA (PHYSICIAN)
(281) 689-8144
Entity
Organization
Contact information
Practice address
20185 US HIGHWAY 59, SUITE 72, NEW CANEY, TX 77357-8358
(281) 689-8144
(281) 399-8904
Mailing address
20185 US HIGHWAY 59, SUITE 72, NEW CANEY, TX 77357-8358
(281) 689-8144
(281) 399-8904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G9676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JQ72
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
08/25/2006
Last updated
09/09/2010
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