Search › Texas › 363A00000X
Jack Willis, PA
NPI 1063664183 · on the registry since 2008
Practice
- Address
- 4060 Medical Park Dr # A
Odessa, TX 79765 - Phone
- (432) 582-2882
- Fax
- (432) 582-2884
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas