Dan a. Willis, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E2944 Issued in TX

Legal business name

DAN A. WILLIS, M.D., P.A.

Practice address

1325 Pennsylvania Ave Ste 670
Fort Worth, TX 76104-2133

Phone

(817) 877-5382

Fax

(817) 877-3992

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dan A Willis, M.D.

Title

President

Phone

(817) 877-5382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1649418831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 670",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042133",
            "telephone_number": "817-877-5382",
            "fax_number": "817-877-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 670",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042133",
            "telephone_number": "817-877-5382",
            "fax_number": "817-877-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN A. WILLIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-877-5382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy N Dambro, MD
• Shyanne Dameron
• Peter J Damico, M.D
• Gordon Clark Damon Jr., DDS
• Andrea L. Damron, CRNA
• Dan Care LLC
• Dana Snell, D.O. P.L.L.C.
• Elisabeth Anne Danforth, APRN, FNP, AGACNP
• Evie Danforth, RN
• An Hai Van Dang, DDS

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.