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Contact Information

CARL A WILLEFORD JR, FNP-C
3226 N UNIVERSITY DRIVE
SUITE 300
NACOGDOCHES, TX75965
 Phone: 936-221-5138
 Fax: 936-221-5150
 Website: https://nacogdochesfamilymedicine.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARL A WILLEFORD JR · (Male)

NPI Number 1063465409
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 05/18/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # AP114322
Hospital affiliation(s)
  • MEMORIAL HOSPITAL - (Acute Care)
    1204 MOUND ST
    NACOGDOCHES, TX 75961
  • NACOGDOCHES MEDICAL CENTER - (Acute Care)
    4920 NE STALLINGS DRIVE
    NACOGDOCHES, TX 75961
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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