Individual provider · Type 1 NPI

Cedric R. Willis, PA-C

Physician Assistant · Shreveport, LA

NPI number 1801196589 Active

Practice location

8001 Youree Dr Ste 540
Shreveport, LA 71115-2343

Call (318) 631-9121 Map

Fax (318) 631-9126

Mailing address

3217 Mabel St
Shreveport, LA 71103-4022

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.200392 (LA)

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 1801196589

Cedric R. Willis, PA-C's National Provider Identifier is 1801196589, issued on Oct 27, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Aug 12, 2022.