Dan A. Willis, M.d., P.a.

NPI #1649418831 in Fort Worth, Texas

Provider Information

NPI Number: 1649418831
Entity Type: Organization
Organization Name: Dan A. Willis, M.d., P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Jan 27, 2009
Last Updated: Jan 27, 2009

Practice Location

Address: 1325 PENNSYLVANIA AVE STE 670
City: Fort Worth
State: Texas
ZIP Code: 76104-2133
Phone: (817) 877-5382

Authorized Official

Name: DR. DAN A WILLIS, M.D.
Title: PRESIDENT
Phone: (817) 877-5382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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