Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0875 | TX |
Y | 222Z00000X | Podiatrist | 0875 | TX |
N | 111NR0200X | Radiology | 0875 | TX |
N | 213ER0200X | Radiology | 0875 | TX |
N | 213ES0131X | Foot Surgery | 0875 | TX |
NPI | 1245203322 |
---|---|
Provider Name | Lloyd David Williams |
First Address | El Paso, TX 79924-4429 |
Second Address | El Paso, TX 79924-4429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 19/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018639702 | (05) | TX |
T16653 | (02) |