Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 9221 | TX |
Y | 111NX0100X | Occupational Health | 9221 | TX |
NPI | 1245288737 |
---|---|
Provider Name | Terry D Williams |
First Address | Corsicana, TX 75110-5243 |
Second Address | Corsicana, TX 75110-5243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 21/10/2015 |