MR. WILLARD LEO MCGUIRE (NPI# 1538295167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538295167 |
| Entity Type | Individual |
| Full Name | MR. WILLARD LEO MCGUIRE |
| Other Name | MR. BILL MCGUIRE |
| Credential | PA-C |
| Practice Address |
1102 Dove Ln Burkburnett TX 76354-2860 |
| Practice Telephone | 9405693399 |
| Mailing Telephone | 9405693399 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01008 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | PA01008 | 01 |
| Street Address |
1102 DOVE LN |
| City | BURKBURNETT |
| State | TX |
| Zip Code | 76354-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1760983597 | Britney Sims | Licensed Vocational Nurse | 703 Meadow Dr, Burkburnett, TX 76354 | 2018-02-27 |
| 1851849897 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1119 S. Red River Expressway, Burkburnett, TX 76354 | 2016-09-20 |
| 1669929741 | Burk Smiles Pllc | Dentist | 412 B South Ave D, Burkburnett, TX 76354 | 2016-09-06 |
| 1902004112 | Fikes Boomtown Drug | Pharmacy | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-10 |
| 1396842951 | Christopher Kevin Wyatt | Psychiatry & Neurology | 312 S Avenue D, Burkburnett, TX 76354 | 2006-09-17 |
| 1821645151 | Bryan William Harrison | Pharmacist | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2019-08-21 |
| 1730603978 | Kelly Lynn Hall | Physician Assistant | 149 Hart St, 82nd Mdos/sgop Family Practice, Sheppard Afb, TX 76354 | 2017-07-31 |
| 1548460801 | Fikes Boomtown Drug, Inc. | Durable Medical Equipment & Medical Supplies | 514 S. Oklahoma Cutoff, Burkburnett, TX 76354 | 2007-07-24 |
| 1497219943 | Allen Wayne Durbin Jr. | Physical Therapy Assistant | 507 E 5th St, Burkburnett, TX 76354-1607 | 2019-01-29 |
| Find all providers in zip 76354 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | BURKBURNETT |
| Zip Code | 76354 |
Please comment or provide details below to improve the information on MR. WILLARD LEO MCGUIRE.
| 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.