Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED S WILLIS, MD
Active Sole ProprietorFRED S WILLIS, MD is a Emergency Medicine healthcare provider located in SHREVEPORT, Louisiana. NPI 1235131665 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SHREVEPORT, LA
Registration Details
- NPI Number
- 1235131665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (20.959801383109 yrs)
- Last Updated
- Dec 12, 2024
- License
-
020188 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2600 GREENWOOD RDSHREVEPORT, LA, 711033908Browse LA providers · Browse ZIP 71103
- Phone
- 3182124500
- Fax
- 3182124143
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| WALTER E BOUNDS | MD | 1447254198 |
| DEBORAH FLETCHER | MD | 1699777011 |
| JOSEPH A FARQUHAR | MD | 1922000348 |
| JOHN W REEVES | MD | 1396737540 |
| BRIAN T DILLON | MD | 1114919362 |
| NIKUNJ K PARIKH | MD | 1629070057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.