Williams, Randall L

Williams, Randall L is an individual health care provider with primary practice located at 4450 Sunset Dr , San Angelo TX 76904. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Williams, Randall L can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
4450 Sunset Dr San Angelo TX 76904
Phone: (325) 658-1511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1009538 Texas

Profile Details

NPI number 1295711083
LBN Legal business name Williams, Randall L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 30th, 2014 - about 10 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 1295711083 NPPES
Texas MEDICAID 159915401

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