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
Phone: (512) 576-8656
Fax: (512) 459-2101
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568408730 | NPPES |
Texas | MEDICAID | P000T97A2 |
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