Brian Keith Willis in Texarkana - Neurological Surgery
Brian Keith Willis - NPI 1821014648
Brian Keith Willis is a Neurological Surgery in Texarkana, Texas. Brian Keith Willis practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Brian Keith Willis is 1821014648. The last update date is 2014-02-24.
Brian Keith Willis's current location address is 1002 Texas Blvd Ste 406, Texarkana, Texas. You can contact this provider via phone number 9037944196 and fax number 9037927408. The mailing address for Brian Keith Willis is 1002 Texas Blvd Ste 406, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Keith Willis |
|---|---|
| Address | 1002 Texas Blvd Ste 406, Texarkana, Texas |
| Phone Number | 9037944196 |
| Fax Number | 9037927408 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821014648 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2014-02-24 |
Provider Mailing Address Detail
| Address | 1002 Texas Blvd Ste 406 |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755015113 |
| Phone Number | 9037944196 |
| Fax Number | 9037927408 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 16892 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1936936 | LA | -- |
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What is the unique identifier code issued to Brian Keith Willis by the Centers for Medicare & Medicaid Services?
The Brian Keith Willis has been assigned the NPI (National Provider Identifier) 1821014648. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brian Keith Willis located?
The Brian Keith Willis is located at 1002 Texas Blvd Ste 406, Texarkana, TX 755015113.
What is Brian Keith Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Keith Willis's area of specialization is Neurological Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207T00000X.
On what date did the Brian Keith Willis receive its 1821014648 assignment from the Centers for Medicare & Medicaid Services?
The Brian Keith Willis was assigned its 1821014648 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date were the Brian Keith Willis's details last updated?
The information pertaining to the Brian Keith Willis, including its address, specialty, and other details, was most recently updated on 2014-02-24.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL