MARY KRISTINE WILLIS


Address: 1935 Medical District Dr, Dallas, TX 75235-7701
Phone: 2144567000

MARY KRISTINE WILLIS (NPI# 1083992267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083992267
Entity Type Individual
Full Name MARY KRISTINE WILLIS
Credential P.A.-C
Practice Address 1935 Medical District Dr
Dallas
TX 75235-7701
Mailing Address 9408 Lanshire Dr
Dallas
TX 75238-3410
Practice Telephone 2144567000
Mailing Telephone 4694178213
Enumeration Date 2011-07-22
Last Update Date 2011-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA07332 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY WILLIS

NPI Name Taxonomy Address Enumeration
1629677406 Mary Grace Willis Licensed Vocational Nurse 232 County Road 2921, Alba, TX 75410-5830 2020-10-22
1477051449 Mary E Willis Nurse Practitioner 10510 Jefferson Ave Ste E, Newport News, VA 23601-3102 2018-01-25
1417313263 Mary Willis Physical Therapy Assistant 10077 Infinity Ln, Piqua, OH 45356-7512 2016-01-10
1700185964 Mary Miranda Willis Licensed Practical Nurse 303 Rellim Dr, Kent, OH 44240-4531 2011-03-26
1083700652 Mary Willis Counselor 4656 Brambleton Avenue, Roanoke, VA 24018 2006-10-04
1518504620 Mary Judith Willis Counselor 3333 University Ave Se, Minneapolis, MN 55414-3325 2019-12-08
1831521269 Mary Willis Pharmacist 3800 Se 22nd Ave, 04004/rds, Portland, OR 97202-2918 2013-08-08
1811223324 Mary Kay Willis Specialist/Technologist 1248 Austin Hwy, Suite 210, San Antonio, TX 78209-4821 2009-10-19
1710127626 Mary E Willis Dietitian, Registered 15101 Glenwood Ave, Stanley, KS 66223-3154 2009-03-05
1346499241 Mary E Willis Clinic/Center 550 Pope Ave, Fort Leavenworth, KS 66027-2332 2008-09-16

Office Location

Street Address 1935 MEDICAL DISTRICT DR
City DALLAS
State TX
Zip Code 75235-7701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689670929 Donald Ray Cochran Anesthesiology 1935 Medical District Dr, Maildrop B3.02, Dallas, TX 75235-7701 2005-06-22
1437759842 Kira Ann Snyder Nurse Practitioner 1935 Medical District Dr, Dallas, TX 75235-7701 2020-10-27
1063011245 Dana Marie Mckay Dietitian, Registered 1935 Medical District Dr, Dallas, TX 75235-7701 2020-10-20
1508472374 Marcia Michele Seebachan Social Worker 1935 Medical District Dr, Dallas, TX 75235-7701 2020-09-17
1811509474 Zehneel Jiwani Anesthesiologist Assistant 1935 Medical District Dr, Dallas, TX 75235-7701 2020-08-17
1477165066 Deisy R Ybarra Counselor 1935 Medical District Dr, Dallas, TX 75235-7701 2020-08-17
1285242933 Stephanie Lynn Spencer Nurse Practitioner 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-20
1790393627 Cameron Leigh Keylor Student in an Organized Health Care Education/Training Program 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-16
1689292807 Coralie Ciceron Student in an Organized Health Care Education/Training Program 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-14
1568070738 Beth Renae Shell Registered Nurse 1935 Medical District Dr, Dallas, TX 75235-7701 2020-07-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058895 Kailey Elaine Flowers Physical Therapy Assistant 2400 Empire Central Drive, Suite B, Dallas, TX 75235 2020-06-19
1265061071 Bella Xinyi O'malley Student in an Organized Health Care Education/Training Program 1935 Medical Drive, Dallas, TX 75235 2020-04-03
1427687318 Can Ozlu Student in an Organized Health Care Education/Training Program Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 2020-04-03
1689137515 Tarek Mansi Student in an Organized Health Care Education/Training Program 2222 Medical District Dr Apt 4325, Dallas, TX 75235 2019-04-08
1386117125 Christine Elizabeth Smith Physician Assistant 8134 Tex Oak Avenue, Dallas, TX 75235 2019-01-04
1447720016 Michelle Angelina Dye Physician Assistant 5959 Maple Avenue Apt 1171, Dallas, TX 75235 2018-11-27
1255869335 Andrea Nicole Pennington-peace Specialist/Technologist, Other 1935 Medial District, Dallas, TX 75235 2017-06-01
1194258152 Tricia Rood Student in an Organized Health Care Education/Training Program 5200 Harry Hines Blvd., Dallas, TX 75235 2017-04-06
1437690971 Robin Lee Counselor 8915 Hrry Hines Blvd, Dallas, TX 75235 2017-03-16
1871033746 Javier Davila-lopez Counselor 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 2017-02-27
Find all providers in zip 75235

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700440 Heather Weir Physician Assistant 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 2020-11-03
1225643562 Yermiahu Levi Sarne Physician Assistant 6206 Preston Crest Ln, Dallas, TX 75230-1828 2020-09-14
1255945564 Amanda Michelle Flores Physician Assistant 1801 Young St, Dallas, TX 75201 2020-09-03
1275151102 Kelly Ashworth Physician Assistant 7331 Gaston Ave # 180, Dallas, TX 75214-4131 2020-07-07
1780201715 Gabriela Yvonne Camacho Physician Assistant 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 2020-06-25
1346879699 Ws Neuroassist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 2020-04-07
1265065122 Sarah Bell Stewart Physician Assistant 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 2020-02-19
1093348237 Meagan Lee Barry Physician Assistant 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 2020-02-17
1245863554 Melissa Ann Johnston Physician Assistant 4373 Boca Bay Dr, Dallas, TX 75244-7408 2020-02-14
1205479607 Mj Surgical, Pllc Physician Assistant 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 2019-10-18
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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