BRANCH T WILLIS FNP-C NPI 1881902674

NPI Information

  • NPI: 1881902674
  • Provider Name: BRANCH T WILLIS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 605 S CONROE MEDICAL DR
    CONROE, TX
    ZIP 77304
  • Phone: (936) 539-4004

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NPI Details

Branch T Willis, FNP-C is a family nurse practitioner in Conroe, TX with 16 years of experience. Branch T Willis, FNP-C NPI is 1881902674. 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:

605 S CONROE MEDICAL DR
CONROE, TX
ZIP 77304-722
Phone: (936) 539-4004
Fax: (936) 539-3635

The NPI 1881902674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 3/7/2023.

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
1363LF0000XNurse PractitionerFamily607251TEXASNo
2363LF0000XNurse PractitionerFamilyAP119293TEXASYes

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
13251365-03MEDICAIDTEXAS

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: 11/21/2025

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