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General NPI Number Information
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NPI Number | 1851505549
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Entity Type | Organization
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Legal Business Name | PATRICK W WILLS MD PA
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1102
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-739-1122
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Fax | 713-739-1144
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Provider Business Mailing Address
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Address Line | PO BOX 975418
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City | DALLAS
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State | TX
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Zip | 75397-5418
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Country | US
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Telephone | 713-739-1122
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Fax | 713-739-1144
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK W WILLS
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Credential | MD
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Telephone | 713-739-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | F0083
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License Number State | TX
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