MR. MILTON EVANS WILLIS PA NPI 1881635019

NPI Information

NPI: 1881635019
Provider Name: MR. MILTON EVANS WILLIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
538 BROADWAY
WINNIE, TX
ZIP 77665
Phone: (409) 296-9505
Get Directions

MR. Milton Evans Willis, PA is a medical physician assistant in Winnie, TX. MR. Milton Evans Willis, PA NPI is 1881635019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

538 BROADWAY
WINNIE, TX
ZIP 77665-600
Phone: (409) 296-9505
Fax: (409) 296-2506

The enumeration date for this NPI number is 6/9/2006 and was last updated on 2/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00964	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R59674	MEDICARE UPIN	TEXAS
2	8Y1053	OTHER	TEXAS	BCBS
3	432066154	OTHER	TEXAS	TAX ID NUMBER
4	00164Y	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GROUP NUMBER
5	8D1577	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	INDIVIDUAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »