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

Austin Glenn Willis, DO

Individual provider Pediatrics Physician · NPI 1083034920

Austin Glenn Willis, DO is a Pediatrics Physician in Albuquerque, New Mexico. Licensed in New Mexico and Texas. Registered with an NPI since 2014.

Licensed in
NM, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 841-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A-2075-17 (NM)
Pediatrics Physician Taxonomy 208000000X · Licence BP1-0059381 (TX)

Record details

NPI number1083034920
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESJuly 21, 2022

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