Carl Austin Willeford Jr. (NPI# 1063465409, PAC ID# 2961426705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063465409 |
| PAC ID by PECOS | 2961426705 |
| Professional Enrollment ID | I20060119000907 |
| Full Name | Carl Austin Willeford Jr. |
| Address |
1516 S 31st St Suite B Temple TX 76504-6752 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450656 | NACOGDOCHES MEDICAL CENTER |
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1516 S 31st St, Suite B, Temple, TX 76504-6752 |
| Street Address |
1516 S 31ST ST SUITE B |
| City | TEMPLE |
| State | TX |
| Zip | 76504-6752 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela R Smith | Nurse Practitioner | Walk-in Clinic, LLC | 1516 S 31st St, Suite B, Temple, TX 76504-6752 |
| Kassey C Osborn | Nurse Practitioner | Walk-in Clinic, LLC | 1516 S 31st St, Temple, TX 76504-6752 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Smith | Clinical Social Worker | 601 Pendleton St, Temple, TX 76504-2947 | |
| Mikala L Schooler | Nurse Practitioner | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Nolan Bud Beede | Physical Therapy | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Blake Michael Young | Chiropractic | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Benjamin N Davis | Chiropractic | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Jennifer Gordon | Chiropractic | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Kathryn Smith | Nurse Practitioner | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| Christina Coley | Nurse Practitioner | Comprehensive Injury Treatment Services Pllc | 1602 W Ave A, Suite B, Temple, TX 76504-4080 |
| John K Cooke | Optometry | 1119 S 31st St, Temple, TX 76504-5214 | |
| Tove Martine Goldson | Family Medicine | Scott and White Clinic | 1402 W Ave H, Baylor Scott and White Clinic Templ, Temple, TX 76504-5342 |
| Find all physicians in zip 76504 | |||
| City | TEMPLE |
| Zip Code | 76504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TEMPLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carl Austin Willeford Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.