Individual provider Active NPI

Dennis Earl Willis, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1093712705
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7950 Issued in TX
Practice address
2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649
Phone
(210) 599-6000
Fax
(210) 599-7519
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7950 TX Primary

Addresses

Primary practice location

2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649

Mailing address

8637 Fredericksburg Rd
Ste 105
San Antonio, TX 78240-1283
Phone (210) 617-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000831 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0840287496 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 6, 2024 Accepting new patients
Dewitt Medical District CurrentSince Sep 18, 2001 Accepting new patients
Frio Hospital Association CurrentSince Apr 28, 2014 Accepting new patients
Dewitt Medical District Family Medicine CurrentSince Sep 18, 2001 Accepting new patients
Frio Hospital Association CurrentSince Apr 28, 2014 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 6, 2024 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Jul 8, 2014 Accepting new patients
Dewitt Medical District Current Accepting new patients
Community Medicine Associates Family Medicine PastSince Aug 1, 2006 Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients
Dennis E. Willis, M.D., P.a.. Family Medicine PastSince Jan 4, 2006 Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093712705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 FREDERICKSBURG RD",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401283",
            "telephone_number": "210-617-4708",
            "fax_number": "210-617-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175649",
            "telephone_number": "210-599-6000",
            "fax_number": "210-599-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DENNIS",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.