I E WILLIS JR DPM PC
Podiatry at Whaley St, Longview, TX

License number
Texas 0280
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. SELWYN EUGENE WILLIS DPM
Title: DPM
Phone: (903) 753-3316
Address
Address
609 E Whaley St, Longview, TX 75601
National Provider ID: 1851579643
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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I. E. Willis, Jr., D.P.M., PC

Longview, TX

Registration:
May 3, 1982
Addresses:
PO Box 2202, Longview, TX 75606
609 E Whaley St, Longview, TX 75601
State ID:
90768602
Business type:
Domestic Professional Corporation
President, Directors:
Selwyn E. Willis (Director, President),Lizzie Willis (Director, Vice President),Isaac E. Willis President, Director, inactive
Agent:
I. E. Willis

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