Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES E WILLIS, MD
ActiveCHARLES E WILLIS, MD is a Vascular Surgery healthcare provider located in DESOTO, Texas. NPI 1336142983 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · DESOTO, TX
Registration Details
- NPI Number
- 1336142983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (21.258877863597 yrs)
- Last Updated
- Jan 27, 2026
- Licenses
-
J0365 (TX)J0365 (TX)
Practice Information
- Address
-
911 YORK DR STE 205DESOTO, TX, 751152064Browse TX providers · Browse ZIP 75115
- Phone
- 2146230550
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.