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

Austin Glenn Willis, DO

Individual provider Pediatrics Physician · NPI 1083034920

Austin Glenn Willis, DO is a Pediatrics Physician in Albuquerque, New Mexico. Licensed in New Mexico and Texas. Registered with an NPI since 2014.

Licensed in
NM, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 841-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A-2075-17 (NM)
Pediatrics Physician Taxonomy 208000000X · Licence BP1-0059381 (TX)

Record details

NPI number1083034920
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666

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