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Charles Willis, MD — NPI 1336142983, Desoto, TX | NPI Central

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NPI 1336142983

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Charles Willis, MD

NPI 1336142983 · Pain Medicine Physician · Desoto, TX

Provider details

NPI number: 1336142983
Entity type: Individual
Primary specialty: Pain Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: J0365 (TX)

Specialties & taxonomies

Pain Medicine PhysicianPrimary208VP0000XLicense J0365 (TX)
Allopathic & Osteopathic Physicians
Pain Medicine (Anesthesiology) Physician207LP2900XLicense J0365 (TX)
Allopathic & Osteopathic Physicians

Practice location

911 York Dr Ste 205

Desoto, TX 75115-2064

Phone: (214) 623-0550

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

Po Box 1347

Addison, TX 75001-1347

Additional practice locations (1)

15355 Vantage Pkwy W Ste 330
Houston, TX 77032-1975
Phone: (214) 623-0550

Registry dates

Enumerated: 2005-05-27
Last updated: 2026-01-27
Certified: 2026-01-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.