W Sam Williams Jr MD PA
Organization Active NPI Clinic/Center · Ganado, TX
NPI 1154350296 · NPPES record last updated Nov 5, 2013
Key facts
- NPI
- 1154350296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- W SAM WILLIAMS JR MD PA
- Practice address
- 204 South 4TH Street
Ganado, TX 77962-1210 - Phone
- (361) 771-3311
- Fax
- (361) 771-3081
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Wilford S Williams Jr., MD
- Title
- Owner
- Phone
- (361) 771-3311
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
204 South 4TH Street
Ganado, TX 77962-1210
Mailing address
PO Box 1210
Ganado, TX 77962-1210
Phone (361) 771-3311
Other providers in Ganado, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.