Teresa Willis in Fort Worth - Physician Assistant
Teresa Willis - NPI 1265587166
Teresa Willis is a Physician Assistant in Fort Worth, Texas. Teresa Willis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Teresa Willis is 1265587166. The last update date is 2007-07-08.
Teresa Willis's current location address is 8608 Iron Gate Ct, Fort Worth, Texas. You can contact this provider via phone number 8179272332 and fax number 8179270361. The mailing address for Teresa Willis is 8608 Iron Gate Ct, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Willis |
|---|---|
| Address | 8608 Iron Gate Ct, Fort Worth, Texas |
| Phone Number | 8179272332 |
| Fax Number | 8179270361 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1265587166 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8608 Iron Gate Ct |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761793024 |
| Phone Number | 8179272332 |
| Fax Number | 8179270361 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02067 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Teresa Willis?
The Teresa Willis has been issued the NPI (National Provider Identifier) 1265587166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Teresa Willis?
The Teresa Willis is physically situated at 8608 Iron Gate Ct, in the city of Fort Worth, state of TX, with the postal code 761793024.
What is Teresa Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa Willis's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Teresa Willis receive the assignment of its 1265587166 from the Centers for Medicare & Medicaid Services?
The Teresa Willis was issued its 1265587166 by the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details related to Teresa Willis most recently updated or revised?
The information pertaining to Teresa Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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