Williams Family Practice, P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2751 Issued in TX

Legal business name

WILLIAMS FAMILY PRACTICE, P A

Doing business as

Williams Family Practice

Practice address

309 E Crockett St
Suite a
Cleveland, TX 77327-3810

Phone

(281) 592-2656

Fax

(281) 592-9723

NPI assigned

Jun 13, 2007

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Balmore Willoughby Williams, MDNPI 1932103629

Title

M.D.

Phone

(281) 592-2656

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Williams Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Balmore W Williams, M.D.

  • Family Medicine Physician
  • Cleveland, TX
  • NPI 1932103629
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1881898922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CROCKETT ST STE A",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773273810",
            "telephone_number": "281-592-2656",
            "fax_number": "281-592-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E CROCKETT ST",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773273810",
            "telephone_number": "281-592-2656",
            "fax_number": "281-592-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY PRACTICE, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BALMORE",
        "authorized_official_middle_name": "WILLOUGHBY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "281-592-2656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144323602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0041GW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932103629",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144323601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "8B9860",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Margarita Walston, COTA
• Cortney Lynn Warren, LPC-A
• Baylee Watson
• Haley Nichole Watson, PHARMD
• Westmoreland Orthopaedics PLLC
• Balmore W Williams, M.D.
• Keith Edward Williamson, PA
• Wyteka Wilson
• Win MD Health PLLC
• Winnie-Stowell Hospital District (Cleveland Health Care Center)

• Family Medicine Physician in Cleveland, TX
• Providers in Cleveland, 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 Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.