Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1725 | TX |
NPI | 1457561664 |
---|---|
Provider Name | Walter Howard Williams |
First Address | El Paso, TX 79925-5718 |
Second Address | El Paso, TX 79936-5692 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 12/11/2020 |