Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad D. Willis, DO, PC

Organization Otolaryngology Physician · NPI 1174844864

Chad D. Willis, DO, PC is an Otolaryngology Physician in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5402 SW Lee Blvd
Lawton, OK 73505-9521
Phone: (580) 531-0022
Fax: (580) 531-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4875 (OK)

Record details

NPI number1174844864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Therese Simon — Crentialing · (580) 531-0022
NPI enumeratedJune 16, 2010
Last updated in NPPESJune 16, 2010
Mailing address5402 Sw Lee Blvd, Lawton, OK 73505-9521

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