P Praxis·MD
● Active Type 1 · Individual

Kourtney Marie Willett, PA-C

Physician Assistant·Longview, TX· NPI 1326691957 · Enumerated 2019 · 6 years on NPI
Willett is 1 of 10 physician assistant providers in Longview and 1 of 1890 in Texas.
NPI age
6 years
Enumerated 2019-07-23
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
912 Walnut Hill Dr
Longview, TX 756055052
📞 9032916300
Mailing address
912 Walnut Hill Dr
Longview, TX 756055052
📞 9032916300

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA12883 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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