Williams, Russell
Williams, Russell is an individual health care provider with primary practice located at 200 Mlk Jr Blvd , Wichita Falls TX 76301-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Russell can be contacted via phone (940) 766-6306.Contact Information
Primary practice address
200 Mlk Jr Blvd
Wichita Falls TX 76301-1152
Phone: (940) 766-6306
Fax: (940) 766-6306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F3669 | Texas |
Profile Details
| NPI number | 1548248792 |
|---|---|
| LBN Legal business name | Williams, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Feb 14th, 2012 - about 12 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 | 1548248792 | NPPES |
| Texas | MEDICAID | 1020307-02 |
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