Willow Wellness Center, P.a.

NPI #1346346335 in Tyler, Texas

Provider Information

NPI Number: 1346346335
Entity Type: Organization
Organization Name: Willow Wellness Center, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 16, 2006
Last Updated: Nov 30, 2011

Practice Location

Address: 820 E FRONT ST
City: Tyler
State: Texas
ZIP Code: 75702-8326
Phone: (903) 596-0602

Authorized Official

Name: DR. ANGELA NELL SMITH, M.D.
Title: PRESIDENT
Phone: (903) 596-0602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine	207R00000X	Primary

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