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

Brent Willis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104363258

Brent Willis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Texarkana, Texas. Qualified in 2016, 10 years ago. Practices with Christus Health Ark-La-Tex, a 39-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

203 La Grange Dr
Texarkana, TX 75501
Phone: (936) 645-5428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP133014 (TX)

Record details

NPI number1104363258
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 27, 2017
Last updated in NPPESJanuary 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Christus Health Ark-La-Tex — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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