Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | H4798 | TX |
NPI | 1003810086 |
---|---|
Provider Name | Dr. Neil P Williams |
First Address | Irving, TX 75063-3707 |
Second Address | Irving, TX 75063-3764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 14/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E03398 | (02) | TX |