Individual provider · Type 1 NPI
Destinye Willis
Home Infusion Agency · Watauga, TX
NPI number
1407716210
Active
Practice location
7005 Yorkston St
Watauga, TX 76148-1975
Fax (301) 936-1546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant | 3747P1801X | 024426 (TX) |
| Respite Care | 385H00000X | 024426 (TX) |
| In Home Supportive Care Agency | 253Z00000X | 024426 (TX) |
| Home Health Agency | 251E00000X | 024426 (TX) |
| Home Infusion Agency Primary | 251F00000X | 024426 (TX) |
Home Infusion Agency: Definition to come...
Another provider at this address
About NPI 1407716210
Destinye Willis's National Provider Identifier is 1407716210, issued on Nov 13, 2025. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Watauga, TX. The record was last updated on Aug 31, 2026.