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NPI Code Detail

MEDICARE: FIRST PHYSICIANS, PLLC

MEDICARE: FIRST PHYSICIANS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1154795250
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST PHYSICIANS, PLLC
Provider Business Mailing Address
First Line : 1220 W UNIVERSITY BLVD
Second Line :
City : ODESSA
State : TX
Zip : 79764-7118
Country : US
Telephone Number : 432-332-6600
Fax Number : 432-332-8011
Provider Business Practice Location Address
First Line : 1220 W UNIVERSITY BLVD
Second Line :
City : ODESSA
State : TX
Zip : 79764-7118
Country : US
Telephone Number : 432-332-6600
Fax Number : 432-332-8011
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. BARRY DAVID WILLINGHAM
Credential : M.D.
Telephone Number : 432-332-6600
Provider Enumeration Date : 11/30/2015
Last Update Date : 05/02/2025

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Directions to “FIRST PHYSICIANS, PLLC ” Practice Location

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