Richard Kenneth Willms in Tyler - Vascular Surgery
Richard Kenneth Willms - NPI 1629087663
Richard Kenneth Willms is a Vascular Surgery in Tyler, Texas. Richard Kenneth Willms practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Richard Kenneth Willms is 1629087663. The last update date is 2015-07-23.
Richard Kenneth Willms's current location address is 14565 Cr 1113, Tyler, Texas. You can contact this provider via phone number 9035953728 and fax number 9035950333. The mailing address for Richard Kenneth Willms is 14565 Cr 1113, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Kenneth Willms |
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Address | 14565 Cr 1113, Tyler, Texas |
Phone Number | 9035953728 |
Fax Number | 9035950333 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1629087663 |
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Provider Enumeration Date | 2006-08-07 |
Last Updated Date | 2015-07-23 |
Provider Mailing Address Detail
Address | 14565 Cr 1113 |
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City | Tyler |
State | Texas (TX) |
Post Code | 757039551 |
Phone Number | 9035953728 |
Fax Number | 9035950333 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | C8691 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110137001 | TX | -- |
Post Comment/ Review Below
What is the Richard Kenneth Willms's unique identification number?
The Richard Kenneth Willms has been assigned the NPI (National Provider Identifier) Number 1629087663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Richard Kenneth Willms is physically located?
The Richard Kenneth Willms is situated at the following address: 14565 Cr 1113, Tyler, TX 757039551.
What is Richard Kenneth Willms's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Kenneth Willms is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
When did Richard Kenneth Willms receive its 1629087663 assignment?
The Richard Kenneth Willms was assigned its 1629087663 on 2006-08-07, which is the date when this unique identifier was issued to the organization.
As of what date were the Richard Kenneth Willms's details last updated?
The information pertaining to the Richard Kenneth Willms, including its address, specialty, and other details, was most recently updated on 2015-07-23.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD