Glen Robert Willie, MD

NPI #1205887973 in Denison, Texas

Provider Information

NPI Number: 1205887973
Entity Type: Individual
Name: Glen Robert Willie, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 15, 2006
Last Updated: Dec 15, 2022

Practice Location

Address: 900 N ARMSTRONG AVE
City: Denison
State: Texas
ZIP Code: 75020-2230
Phone: (903) 465-2440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Internal Medicine - Nephrology — Nephrology	207RN0300X
Internal Medicine	207R00000X	Primary

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