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

Selwyn Willis, DPM

Individual provider Podiatrist · NPI 1356347637

Selwyn Willis, DPM is a Podiatry in Longview, Texas. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
40
Licensed in
TX
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

609 E Whaley St
Longview, TX 75601-6526
Phone: (903) 753-3316
Fax: (903) 753-4344
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1000 (TX)

Record details

NPI number1356347637
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESDecember 16, 2011
Mailing addressPo Box 2202, Longview, TX 75606-2202

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview