Dr Richard Kenneth Willms, MD - Surgery in Tyler, TX

Dr Richard Kenneth Willms, MD is a Surgery - Vascular Surgery physician based in Tyler, Texas. Dr Richard Kenneth Willms is licensed to practice in Texas (license number C8691) and his current practice location is 14565 Cr 1113, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 595-3728.

NPI number for Dr Richard Kenneth Willms is 1629087663 and his current mailing address is 14565 Cr 1113, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629087663.

Contact Information

Dr Richard Kenneth Willms, MD
14565 Cr 1113,
Tyler, TX 75703-9551
(903) 595-3728
(903) 595-0333

Map and Direction




Physician's Profile

Full NameDr Richard Kenneth Willms
GenderMale
SpecialitySurgery - Vascular Surgery
Location14565 Cr 1113, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629087663
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 07/23/2015

Medical Identifiers

Medical identifiers for Dr Richard Kenneth Willms such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629087663NPI-NPPES
110137001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) C8691 (Texas)Secondary
2086S0129XSurgery - Vascular Surgery C8691 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Kenneth Willms is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard Kenneth Willms, MD
14565 Cr 1113,
Tyler, TX 75703-9551

Ph: (903) 595-3728
Dr Richard Kenneth Willms, MD
14565 Cr 1113,
Tyler, TX 75703-9551

Ph: (903) 595-3728

Reviews and Comments


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