| Charles E Willis, MD | |
|
911 York Dr Ste 205, Desoto, TX 75115-2064 | |
| (214) 623-0550 | |
| Not Available |
| Full Name | Charles E Willis |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 35 Years |
| Location | 911 York Dr Ste 205, Desoto, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336142983 | NPI | - | NPPES |
| 134219808 | Medicaid | TX | |
| 00R03P | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | J0365 (Texas) | Primary |
| Entity Name | Charles E Willis Ii Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295862431 PECOS PAC ID: 5193701688 Enrollment ID: O20040625000496 |
| Entity Name | Memorial Mri And Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912989120 PECOS PAC ID: 6507859568 Enrollment ID: O20051209000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Willis, MD Po Box 1347, Addison, TX 75001-1347 Ph: () - | Charles E Willis, MD 911 York Dr Ste 205, Desoto, TX 75115-2064 Ph: (214) 623-0550 |
Christopher Giles Irwin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 York Dr, Desoto, TX 75115 Phone: 469-313-0040 | |
Dr. Hung J Vu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 926 Place Louie, Desoto, TX 75115 Phone: 972-668-7460 | |
Dr. Subhash Chander, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1212 Whispering Oaks Dr, Desoto, TX 75115 Phone: 214-395-9541 |