KOURTNEY MARIE WILLETT


Address: 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259
Phone: 2149463687

KOURTNEY MARIE WILLETT (NPI# 1326691957) 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) 1326691957
Entity Type Individual
Full Name KOURTNEY MARIE WILLETT
Credential PA-C
Practice Address 1411 N Beckley Ave Pav 3 Suite 363
Dallas
TX 75203-1259
Mailing Address 5920 E University Blvd Apt 5110
Dallas
TX 75206-4990
Practice Telephone 2149463687
Mailing Telephone 7135829099
Enumeration Date 2019-07-23
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA12883 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1411 N BECKLEY AVE PAV 3 SUITE 363
City DALLAS
State TX
Zip Code 75203-1259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264125 Dylan Lopez Internal Medicine Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 2020-04-22
1902303183 Sarah Mcferon Nurse Practitioner 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 2018-04-12
1659727030 Kathy Lightsey Counselor 1836 Berwick Ave, Dall, TX 75203 2016-05-04
1659712453 Maura M Mcglynn Occupational Therapist 1520 North Beckley Ave 1033, Dallas, TX 75203 2013-07-10
1093153454 Adrienne Workman Internal Medicine 1441 North Beckley Avenue, Dallas, TX 75203 2013-06-07
1851642490 April Rebecca Meras Nurse Practitioner 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 2012-09-22
1699081612 East Run Management, Ltd. Company Alzheimer Center (Dementia Center) 2653 Cedar Crest Blvd, Dallas, TX 75203 2010-08-27
1538471305 Preetivi Ellis Internal Medicine 1441 N Beckley Ave Fl 4, Dallas, TX 75203 2010-07-09
1306085378 Maggie Fardella Counselor 201 E 9th St, Dallas, TX 75203 2009-02-13
1811159122 Maryam Raza Md Pa Internal Medicine 1441 N. Beckley, Dallas, TX 75203 2008-06-27
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003302944 Amk Provider Solutions Pllc Physician Assistant 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 2018-07-03
1184136632 Pa Solutions, Pllc Physician Assistant 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 2017-10-24
1528589918 Operator Assistants, LLC Physician Assistant 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 2017-07-06
1447603683 Exos Surgical Assist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 2016-07-22
1871941419 Premier Physician Surgical Associates, Pllc Physician Assistant 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 2016-05-24
1144686452 Clara Joplin Physician Assistant 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 2016-01-04
1689057820 Horizon Pa Services, Pllc Physician Assistant 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 2015-07-07
1942681572 Ridgeback Assist, Pllc Physician Assistant 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 2015-06-09
1164802385 Kris Holmes Pa Pllc Physician Assistant 740 Peavy Rd, Dallas, TX 75218-2149 2015-06-03
1558752436 Wellspring Plastic Surgery Pllc Physician Assistant 7777 Forest Ln Ste B107, Dallas, TX 75230-6888 2015-02-12
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City DALLAS
Zip Code 75203

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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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