East Texas Orthopaedic Clinic

LBN: Charles R Williams Md Pa
East Texas Orthopaedic Clinic is an health care organization with primary practice located at 804 Medical Circle Suite H, Longview TX 75605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Charles R Williams Md Pa can be contacted via phone (903) 236-3385, or through Williams, Karen R via phone (903) 236-3385.

Contact Information

Primary practice address
804 Medical Circle Suite H Longview TX 75605
Phone: (903) 236-3385
Fax: (903) 236-4766
Website:
Map and Directions
Authorized official contact:
Name: Williams, Karen R
Phone: (903) 236-3385

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1295091486
LBN Legal business name Charles R Williams Md Pa
DBA Doing business as East Texas Orthopaedic Clinic
Authorized official Williams, Karen R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2012
Last updated May 1st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295091486 NPPES
Texas MEDICAID 089595501

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