Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 14270 | TX |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 14270 | TX |
NPI | 1356347272 |
---|---|
Provider Name | Dr. Daniel W Williams JR. |
First Address | The Woodlands, TX 77381-2006 |
Second Address | Spring, TX 77379-6672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 18/12/2015 |