IndividualActive
Milton Willis, PA
NPI 1881635019 · Medical Physician Assistant · Winnie, TX
Provider details
- NPI number
- 1881635019
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00964 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
538 Broadway
Winnie, TX 77665-7600
Phone: (409) 296-9505
Fax: (409) 296-2506
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 714
Winnie, TX 77665-0714
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2009-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.