Active NPI
Martha P. Wills, M.D., F.a.C.S., PA
- Surgery Physician
- North Richland Hills, TX
National Provider Identifier
1053593608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J0367
- Legal business name
- MARTHA P. WILLS, M.D., F.A.C.S., PA
- Practice address
- 4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359 - Phone
- (817) 595-8822
- Fax
- (817) 595-8833
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martha Pauline Wills, M.D.
- Title
- President
- Phone
- (817) 595-8822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J0367 | TX | Primary |
Addresses
Primary practice location
4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359
Mailing address
4375 Booth Calloway Rd
507
North Richland Hills, TX 76180-8359
Phone (817) 595-8822
National Provider Directory
National Provider DirectoryLocations
3848 North Tarrant Pkwy
Ste 110
Fort Worth, TX 76244
Phone (817) 595-8822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Fort Worth, TX
- NPI 1154416600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1053593608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4375 BOOTH CALLOWAY RD",
"address_2": "507",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761808359",
"telephone_number": "817-595-8822",
"fax_number": "817-595-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4375 BOOTH CALLOWAY RD",
"address_2": "507",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761808359",
"telephone_number": "817-595-8822",
"fax_number": "817-595-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA P. WILLS, M.D., F.A.C.S., PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "PAULINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-595-8822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "J0367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.