Misty Lyon Willis
WACO INTEGRATED MEDICAL PLLC


Address: 8300 Old Mcgregor Rd, Suite 2a, Woodway, TX 76712-3600
Phone: 2545371064

Misty Lyon Willis (NPI# 1538714050, PAC ID# 2961834841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1538714050
PAC ID by PECOS 2961834841
Professional Enrollment ID I20191114001206
Full Name Misty Lyon Willis
Organization Legal Name WACO INTEGRATED MEDICAL PLLC
Address 8300 Old Mcgregor Rd
Suite 2a
Woodway
TX 76712-3600
Phone Number 2545371064
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3274863808
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
8300 Old Mcgregor Rd, Suite 2a, Woodway, TX 76712-3600 2545371064 WACO INTEGRATED MEDICAL PLLC

Organization Information

Organization Legal Name WACO INTEGRATED MEDICAL PLLC
Physicians 1

Office Location

Street Address 8300 OLD MCGREGOR RD
SUITE 2A
City WOODWAY
State TX
Zip 76712-3600

Physicians in the same location

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Justin D Dempsey Chiropractic 8300 Old Mcgregor Rd, Suite 2a, Woodway, TX 76712-3600

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Competitor

Search similar physicians

City WOODWAY
Zip Code 76712
Specialty NURSE PRACTITIONER
City + Specialty WOODWAY + NURSE PRACTITIONER

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Dataset Information

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.

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