Jonathan Wayne Williams MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JONATHAN WAYNE WILLIAMS MD

Doing business as

Christian Family Health Clinic

Practice address

312 S Avenue D
Burkburnett, TX 76354-3564

Phone

(940) 569-1177

Fax

(940) 569-4969

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Williams

Title

Ownermember

Phone

(940) 569-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christian Family Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1639235336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S AVENUE D",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543564",
            "telephone_number": "940-569-1177",
            "fax_number": "940-569-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S AVENUE D",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543564",
            "telephone_number": "940-569-1177",
            "fax_number": "940-569-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN WAYNE WILLIAMS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNERMEMBER",
        "authorized_official_telephone_number": "940-569-1177"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GRP",
            "identifier": "0097JY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Hicks
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• Jerry Michael Johnson, PHARMACIST
• Kylie Kerr, LPC
• Patricia Anne Lamb, M.A., CCC-SLP
• Zerlina Ruth Leavelle, CPHT
• Angela L Leon, FNP
• Manna Haven Care Services

• Family Medicine Physician in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.