Williams, Edmund P

Williams, Edmund P is an sole proprietor health care provider with primary practice located at 1380 Pantheon Way Ste 310, San Antonio TX 78232-2288. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Williams, Edmund P can be contacted via phone (210) 404-9696.

Contact Information

Primary practice address
1380 Pantheon Way Ste 310 San Antonio TX 78232-2288
Phone: (210) 404-9696
Fax: (210) 404-9466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G3912 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G3912 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G3912 Texas

Profile Details

NPI number 1457345423
LBN Legal business name Williams, Edmund P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Jun 16th, 2008 - about 17 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 1457345423 NPPES
Texas MEDICAID 138419010

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