Individual
BRIAN KEITH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 716-4850
(318) 716-4954
Mailing address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 716-4850
(318) 716-4954
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
016892
LA
207T00000X
Neurological Surgery Physician
P9030
TX
Other
Enumeration date
07/14/2006
Last updated
05/06/2025
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