Organization Active NPI

K Williamson and a Williamson, P.a.

Doing business as Williamson Family Medicine Associates

  • Family Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1912059270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
K WILLIAMSON AND A WILLIAMSON, P.A.
Doing business as
Williamson Family Medicine Associates
Practice address
3787 Doctors Dr
Suite 205
Port Arthur, TX 77642-5514
Phone
(409) 962-0351
Fax
(409) 962-6087
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allen Clayton Williamson Jr., D.O.NPI 1548269566
Title
President
Phone
(409) 962-0351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

3787 Doctors Dr
Suite 205
Port Arthur, TX 77642-5514

Mailing address

3787 Doctors Dr
Suite 205
Port Arthur, TX 77642-5514
Phone (409) 962-0351

Other identifiers 2

IdentifierTypeStateIssuer
1548269566OtherTXNPI - INDIVIDUAL
1174522031OtherTXNPI - INDIVIDUAL

Other names 1

  • Williamson Family Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3787 Doctors Dr
Ste 205
Port Arthur, TX 77642
Phone (409) 962-0351

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912059270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 DOCTORS DR",
            "address_2": "SUITE 205",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425514",
            "telephone_number": "409-962-0351",
            "fax_number": "409-962-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 DOCTORS DR",
            "address_2": "SUITE 205",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425514",
            "telephone_number": "409-962-0351",
            "fax_number": "409-962-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K WILLIAMSON AND A WILLIAMSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-962-0351",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1548269566",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  - INDIVIDUAL",
            "identifier": "1174522031",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Family Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.