Organization Active NPI

Phillip E. Williams, Jr, MD PA

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1033357603
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MDD2172 Issued in TX
Legal business name
PHILLIP E. WILLIAMS, JR, MD PA
Practice address
7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3852
Phone
(214) 369-3333
Fax
(214) 369-9933
NPI assigned
Feb 4, 2009
Last updated
Jun 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Phillip Earle Williams Jr., MDNPI 1306800750
Title
Owner
Phone
(214) 369-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X MDD2172 TX Primary

Addresses

Primary practice location

7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3852

Mailing address

7515 Greenville Ave
Ste 1000
Dallas, TX 75231-3852
Phone (214) 369-3333

Other identifiers 1

IdentifierTypeStateIssuer
099333901MedicaidTX

National Provider Directory

National Provider Directory

Locations

8335 Walnut Hill Ln
Ste 225
Dallas, TX 75231
Phone (214) 369-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1033357603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313852",
            "telephone_number": "214-369-3333",
            "fax_number": "214-369-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313852",
            "telephone_number": "214-369-3333",
            "fax_number": "214-369-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP E. WILLIAMS, JR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-369-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "MDD2172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099333901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.