Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Kristine Willis, PA-C

Individual provider Physician Assistant · NPI 1083992267

Mary Kristine Willis, PA-C is a Physician Assistant in Dallas, Texas. Works from 4 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 475 Biltmore Way Ste 109, Coral Gables, FL 33134-5724 — (415) 424-4266
  • 500 Ala Moana Blvd Ste 7400, Honolulu, HI 96813-4902 — (415) 424-4266
  • 8300 Esters Blvd Ste 900, Irving, TX 75063-2233 — (415) 424-4266

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07332 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA9119067 (FL)

Record details

NPI number1083992267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2011
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

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