Williams, Charles B

Williams, Charles B is an individual health care provider with primary practice located at 2801 Franciscan Dr , Bryan TX 77802-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, Charles B can be contacted via phone (979) 776-2568.

Contact Information

Primary practice address
2801 Franciscan Dr Bryan TX 77802-2544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K4296 Texas

Profile Details

NPI number 1205874534
LBN Legal business name Williams, Charles B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205874534 NPPES
Texas MEDICAID 047549303
Texas Other P00147303
Texas Other 8K9573
Texas MEDICAID 047549311
Texas MEDICAID 047549310

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