Williams, Charles R

Williams, Charles R is an individual health care provider with primary practice located at 701 E Marshall Ave Suite 502, Longview TX 75601-5659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Williams, Charles R can be contacted via phone (903) 315-4435.

Contact Information

Primary practice address
701 E Marshall Ave Suite 502 Longview TX 75601-5659
Phone: (903) 315-4435
Fax: (903) 236-4766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F7304 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X F7304 Texas

Profile Details

NPI number 1255318200
LBN Legal business name Williams, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 23rd, 2014 - about 11 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 1255318200 NPPES
Texas MEDICAID 089595501

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