| Doctor Name: | DR. DAVID BARRY WILLINGHAM |
| NPI Number: | 1467441642 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | H0947 |
| Business Practice Address: | 4222 Wendover Ave Suite 600 Odessa, TX - 797625945 |
| Business Phone Number: | 4325525656 |
| Business Fax Number: | 4325520992 |
| Mailing Address: | 4222 Wendover Ave, Suite 600 ODESSA |
| State: | TX |
| Postal Code: | 797625945 |
| Phone Number: | 4325525656 |
| Fax Number: | 4325520992 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H0947 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |