Willis L Starnes MD PHD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

PA08480 Issued in TX

Legal business name

WILLIS L STARNES MD PHD

Practice address

3204 N Macarthur Blvd Ste a
Irving, TX 75062-8804

Phone

(972) 256-2028

Fax

(972) 670-5672

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Olga Jigovskaia, PA-C

Title

PA-C

Phone

(214) 298-5528

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1194155382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 N MACARTHUR BLVD STE A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628804",
            "telephone_number": "972-256-2028",
            "fax_number": "972-670-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N MACARTHUR BLVD STE A",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628804",
            "telephone_number": "972-256-2028",
            "fax_number": "972-670-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS L STARNES MD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "JIGOVSKAIA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "214-298-5528",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "PA08480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tequila Williams
• Tilandrea Williams, LBA, BCBA
• Vadeisha Williams, LCSW
• Vanessa P Williams, DDS
• David A Willingham, O.D.
• Christina Suzanne Willis, MS SLP-INTERN
• Jason S. Willis, MD
• Ariel Marie Wilson, M.S., CCC-SLP
• Carolyn Fern Wilson, DDS MSD
• Christopher Reshaud Wilson, PTA

• Primary Care Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.