Mary Grace Willis, LVN is a
Licensed Vocational Nurse based in Alba, Texas. Mary Grace Willis is licensed to practice in Texas (license number 1010685) and her current practice location is
232 County Road 2921, Alba, Texas. She can be reached at her office (for appointments etc.) via phone at
(832) 412-6165.
NPI number for Mary Grace Willis is 1629677406 and her current mailing address is 232 County Road 2921, Alba, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629677406.
Provider's Profile
Full Name | Mary Grace Willis |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 232 County Road 2921, Alba, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629677406
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 10/22/2020
Medical Identifiers
Medical identifiers for Mary Grace Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629677406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 1010685 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Grace Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Grace Willis, LVN 232 County Road 2921, Alba, TX 75410-5830 Ph: (832) 412-6165 | Mary Grace Willis, LVN 232 County Road 2921, Alba, TX 75410-5830 Ph: (832) 412-6165 |
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