| Wills Family Clinic, P.a. | |
|
262 E Evergreen St Sherman TX 75090 | |
| (903) 893-5546 | |
| (903) 892-0065 |
| Full Name | Wills Family Clinic, P.a. |
|---|---|
| Speciality | Specialist |
| Location | 262 E Evergreen St, Sherman, Texas |
| Authorized Official Name and Position | Becky J Sanders (OFFICE MANAGER) |
| Authorized Official Contact | 9038935546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wills Family Clinic, P.a. 262 E Evergreen St Sherman TX 75090-5056 Ph: (903) 893-5546 | Wills Family Clinic, P.a. 262 E Evergreen St Sherman TX 75090 Ph: (903) 893-5546 |
| NPI Number | 1205877180 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 07/11/2018 |
| Medicare PECOS PAC ID | 8921010141 |
|---|---|
| Medicare Enrollment ID | O20060706000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205877180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L2057 (Texas) | Secondary |
| 174400000X | Specialist | L2057 (Texas) | Primary |
| Provider Name | Susan Elaine Wills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497794044 PECOS PAC ID: 4385656511 Enrollment ID: I20060706000351 |
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