Individual provider · Type 1 NPI

Jack K. Willis Jr., PA

Physician Assistant · Odessa, TX

NPI number 1063664183 Active

Practice location

4060 Medical Park Dr # A
Odessa, TX 79765-2233

Call (432) 582-2882 Map

Fax (432) 582-2884

Mailing address

4060 Medical Park Dr
Odessa, TX 79765-2233

Other practice locations

5514 N Big Spring St, Midland, TX 79705-2697 · (432) 316-2441
3490 E Yukon Rd, Odessa, TX 79762-2010 · (432) 520-4086
616 N Main St, Andrews, TX 79714-5207 · (432) 505-4146
6301 Andrews Hwy, Midland, TX 79706-2464 · (432) 505-4147
6950 Eastridge Rd, Odessa, TX 79765-8971 · (432) 505-4145
4705 Briarwood Ave, Midland, TX 79707-2639 · (432) 505-4145

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA05950 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063664183

Jack K. Willis Jr., PA's National Provider Identifier is 1063664183, issued on Oct 21, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Odessa, TX. The record was last updated on Sep 22, 2026.