Brent Willis, CRNA

NPI #1104363258 in Texarkana, Texas

Provider Information

NPI Number
1104363258
Entity Type
Individual
Name
Brent Willis, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 27, 2017
Last Updated
Jan 27, 2017

Practice Location

Address
203 LA GRANGE DR.
State
Texas
ZIP Code
75501
Phone
(936) 645-5428

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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