Active NPI
Robert P Wills MD PLLC
- Interventional Pain Medicine Physician
- Manor, TX
National Provider Identifier
1194112540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- ROBERT P WILLS MD PLLC
- Practice address
- 14008 Shadow Glen Blvd
Suite 200
Manor, TX 78653-3396 - Phone
- (512) 416-7246
- Fax
- (512) 275-2833
- NPI assigned
- Apr 23, 2015
- 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
- Robert P. Wills, MD
- Title
- President
- Phone
- (512) 416-7246
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
14008 Shadow Glen Blvd
Suite 200
Manor, TX 78653-3396
Mailing address
2501 W William Cannon Dr
Suite 401
Austin, TX 78745-5281
Phone (512) 416-7246
Other names 1
- Austin Pain Associates
National Provider Directory
National Provider DirectoryLocations
14008 Shadowglen Blvd
Ste 200
Manor, TX 78653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1194112540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W WILLIAM CANNON DR",
"address_2": "SUITE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455281",
"telephone_number": "512-416-7246",
"fax_number": "512-275-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14008 SHADOW GLEN BLVD",
"address_2": "SUITE 200",
"city": "MANOR",
"state": "TX",
"postal_code": "786533396",
"telephone_number": "512-416-7246",
"fax_number": "512-275-2833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT P WILLS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2015-12-28",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-416-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Austin Pain Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.