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MRS. CARMEN RENEE WILLIS NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861979734

Individual Registrant:
MRS. CARMEN RENEE WILLIS NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
495 COUNTY ROAD 971  CUSHING, TX 75760-3734 US
Tel: 936-652-3870  Fax: --

Contact information for business:
495 COUNTY ROAD 971  CUSHING, TX 75760-3734 US
Tel: --  Fax: --

Registration Information:
NPI: 1861979734
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
TXAP138180

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TX - Page 1



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