IndividualActive
Mary Willis, P.A.-C
NPI 1083992267 · Physician Assistant · Dallas, TX
Provider details
- NPI number
- 1083992267
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9119067 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-7000
Street-level locationGet directions
Mailing address
9408 Lanshire Dr
Dallas, TX 75238-3410
Additional practice locations (3)
- 475 Biltmore Way Ste 109Coral Gables, FL 33134-5724Phone: (415) 424-4266Fax: (415) 520-6633
- 500 Ala Moana Blvd Ste 7400Honolulu, HI 96813-4902Phone: (415) 424-4266Fax: (415) 520-6633
- 8300 Esters Blvd Ste 900Irving, TX 75063-2233Phone: (415) 424-4266Fax: (415) 520-6633
Registry dates
- Enumerated
- 2011-07-22
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.