Madelyn Willis

Physician Assistant · Cleburne, TX

Individual Active NPI

NPI number 1942929666

Practice location

2010 W Katherine P Raines Rd Ste 300
Cleburne, TX 76033-7447
Phone
(432) 620-1120

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NPI record

NPI
1942929666
Entity type
Individual (Type 1)
Enumeration date
August 25, 2022
Last updated
October 15, 2024
Certified
October 15, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA18349 TX

Mailing address

412 Lair Ln
Canyon, TX 79015-4222
Phone
(806) 418-1326

About Madelyn Willis

Madelyn Willis is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2010 W Katherine P Raines Rd Ste 300, Cleburne, TX 76033-7447. The NPI number 1942929666 was assigned on August 25, 2022 and the record was last updated on October 15, 2024.

Madelyn Willis lists a license in the registry: #PA18349 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Madelyn Willis?

The NPI number is 1942929666.

What is the phone number of Madelyn Willis?

The phone number listed for the practice location is (432) 620-1120.

Where is Madelyn Willis located?

2010 W Katherine P Raines Rd Ste 300, Cleburne, TX 76033-7447.

What is the taxonomy code for Madelyn Willis?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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