Russell Williams, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F3669 Issued in TX

Practice address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152

Phone

(940) 766-6306

Fax

(940) 766-6306

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1548248792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-766-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-766-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020307-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Kay Williams, LPT
• Eric Lee Williams, FNP-C
• Lavon Williams, NP
• Lisa Marie Williams, LPC ASSOCIATE
• Nakoacha K Williams, M.A.ED
• Tierney Desiree Williams, OTR/L
• Anne-Marie Henvey Williamson, PMHNP-BC, FNP-BC
• Keith H Williamson, MD
• Beverly Dea Wills, FNP
• Audrey Wilson-McGrath

• Internal Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.