Healthcare Provider Details
I. General information
NPI: 1821779943
Provider Name (Legal Business Name): BETTER CARE WILLIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
804 W MONTGOMERY ST
WILLIS TX
77378-8830
US
IV. Provider business mailing address
26865 INTERSTATE 45 STE 300
THE WOODLANDS TX
77380-4046
US
V. Phone/Fax
- Phone: 346-646-3100
- Fax:
- Phone: 346-646-4399
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
PETTIET
Title or Position: VP REVENUE
Credential:
Phone: 346-646-3100