Curtis E Wills, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21163 Issued in TX

Legal business name

CURTIS E WILLS, PC

Practice address

2300 Highway 365
110
Nederland, TX 77627-6256

Phone

(409) 729-0400

NPI assigned

Jul 17, 2008

Last updated

Jul 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis E Wills, PHD

Title

Owner

Phone

(409) 729-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1578727616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS E WILLS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-729-0400",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196750701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.