| Doctor Name: | HARLAN LEIGH WILLIS |
| NPI Number: | 1457301988 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | C3914 |
| Business Practice Address: | 3301 Clovis Rd Lubbock, TX - 794155155 |
| Business Phone Number: | 8067652611 |
| Business Fax Number: | 8067650754 |
| Mailing Address: | 1313 Broadway St, Suite 5 LUBBOCK |
| State: | TX |
| Postal Code: | 794013277 |
| Phone Number: | 8067652605 |
| Fax Number: | 8066875957 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C3914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |