Williams, Dale Wayne

Williams, Dale Wayne is an sole proprietor health care provider with primary practice located at 8705 Shoal Creek Blvd Ste. 108, Austin TX 78757-6802. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Williams, Dale Wayne can be contacted via phone (512) 576-8656.

Contact Information

Primary practice address
8705 Shoal Creek Blvd Ste. 108 Austin TX 78757-6802
Fax: (512) 459-2101
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 21580 Texas

Profile Details

NPI number 1568408730
LBN Legal business name Williams, Dale Wayne
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Apr 29th, 2015 - about 9 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 1568408730 NPPES
Texas MEDICAID P000T97A2

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