Donald Willis (NPI# 1316940372, PAC ID# 5698802429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1316940372 |
| PAC ID by PECOS | 5698802429 |
| Professional Enrollment ID | I20100826000183 |
| Full Name | Donald Willis |
| Address |
1601 Redwood Rd A San Marcos TX 78666-1423 |
| Phone Number | 5123964400 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1983 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450272 | CENTRAL TEXAS MEDICAL CENTER |
| 450104 | GUADALUPE REGIONAL MEDICAL CENTER |
| 451371 | SETON EDGAR B DAVIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 Redwood Rd A, San Marcos, TX 78666-1423 | 5123964400 |
| Street Address |
1601 REDWOOD RD A |
| City | SAN MARCOS |
| State | TX |
| Zip | 78666-1423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek C Yagnik | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Dan L Pong | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Giovanni G Millare | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Daniel G Bloom | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Mark Poag | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Kellan Michael Schallert | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Sandeep Shah | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Krishna Surapaneni | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Patrick Dattore | Clinical Psychologist | 100 N Edward Gary St, Suite B Suite 103, San Marcos, TX 78666-0644 | |
| Paul E Jennings | Orthopedic Surgery | 1601 Redwood Rd, Suite C, San Marcos, TX 78666-1423 | |
| Find all physicians in zip 78666 | |||
| City | SAN MARCOS |
| Zip Code | 78666 |
| Specialty | UROLOGY |
| City + Specialty | SAN MARCOS + UROLOGY |
Please comment or provide details below to improve the information on Donald Willis.
| 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.