Williams, Michael David
Williams, Michael David is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Ste 910 , Tyler TX 75701-1915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Williams, Michael David can be contacted via phone (903) 705-0072.Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 910
Tyler TX 75701-1915
Phone: (903) 705-0072
Fax: (903) 705-0068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | N1223 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | N1223 | Texas |
Profile Details
| NPI number | 1083669246 |
|---|---|
| LBN Legal business name | Williams, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 4th, 2023 - about last year |
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 | 1083669246 | NPPES |
| Texas | MEDICAID | 282066401 |
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