DR. THERESA C. WILLIS (NPI# 1912295973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912295973 |
| Entity Type | Individual |
| Full Name | DR. THERESA C. WILLIS |
| Credential | M.D. |
| Practice Address |
21727 Ih 10 West San Antonio TX 78256-1161 |
| Mailing Address |
333 N Santa Rosa St Suite D4023 San Antonio TX 78207-3108 |
| Practice Telephone | 2106987663 |
| Practice Fax Number | 2106987696 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2016-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | N9147 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 327006802 | 05 | |
| TX | 327006801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437604089 | Theresa Willis | Pharmacist | 2615 Edwards St Ste 102, Alton, IL 62002-3915 | 2016-08-23 |
| Street Address |
21727 IH 10 WEST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78256-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841317922 | Juan Jose Ferreris | Pediatrics | 21727 Ih 10 West, San Antonio, TX 78256-1161 | 2007-03-23 |
| 1891053484 | Courtney Anne Smith | Pediatrics | 21727 Ih 10 West, San Antonio, TX 78256-1161 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127692 | Lucinda Geeslin | Social Worker | Oak Hills Church Care and Growth Center, 6929 Camp Bullis Road, San Antonio, TX 78256 | 2020-09-01 |
| 1558916155 | Kathleen Anne Champie | Physical Therapist | 6909 Heuermann Rd, San Antonio, TX 78256 | 2019-08-09 |
| 1861956138 | Arianna Kay Antunez | Optometrist | 15900 La Cantera Pkwy Ste 9915, San Antonio, TX 78256 | 2019-01-30 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1114499548 | Myriam Noemi Villarreal | Speech-Language Pathologist | 326 Waxberry Trl, San Antonio, TX 78256 | 2018-12-25 |
| 1013488626 | Campus Bullis Primary Care | Clinic/Center | 6865 Camp Bullis, Suite 201, San Antonio, TX 78256 | 2018-12-07 |
| 1063929792 | Rehabcare Group East, LLC | Clinic/Center | Isle At Watercrest Dominion, 6906 Heuermann Road, San Antonio, TX 78256 | 2018-01-03 |
| 1275932022 | Wg Kirby Pllc | Dentist | 17101 Lacantera Parkway, Bldg 8 Suite 122, San Antonio, TX 78256 | 2014-08-18 |
| 1477893352 | John Mirelez | Pharmacist | 24165 Ih 10, San Antonio, TX 78256 | 2013-02-28 |
| 1831469048 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 15607 Chase Hill Blvd, San Antonio, TX 78256 | 2012-01-04 |
| Find all providers in zip 78256 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1821606062 | Alamo City Healthy Kids and Families, Pllc | Pediatrics | 1919 Oakwell Farms Pkwy Ste 125, San Antonio, TX 78218-1720 | 2020-07-14 |
| 1508403585 | Michelle Ann Portis | Pediatrics | 502 Madison Oak Dr Ste 245, San Antonio, TX 78258-4086 | 2019-12-09 |
| 1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
| 1407384605 | Whitney Taylor | Pediatrics | 8606 Village Dr Unit A, San Antonio, TX 78217-5506 | 2017-06-01 |
| 1811428147 | Karen Lee Garay | Pediatrics | 13750 San Pedro Ave Ste 150, San Antonio, TX 78232-4382 | 2017-03-27 |
| 1538510664 | Suzanna Elizabeth Maupin | Pediatrics | 7355 Barlite Blvd Ste 201, San Antonio, TX 78224-1340 | 2016-06-30 |
| 1366804866 | Allison Wells Morales | Pediatrics | 11085 Bandera Rd # 102, San Antonio, TX 78250-6814 | 2016-03-23 |
| 1275995771 | Pedro Zavala | Pediatrics | 11503 Nw Military Hwy Ste 113, San Antonio, TX 78231-1998 | 2016-03-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78256 |
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| 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.