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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID WILLIAMS M.D.

MEDICARE: DR. MICHAEL DAVID WILLIAMS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology PhysicianN1223TX
22085R0204XVascular & Interventional Radiology PhysicianN1223TX
32085R0202XDiagnostic Radiology PhysicianN1223TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083669246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID WILLIAMS M.D.
Provider Business Mailing Address
First Line : 700 OLYMPIC PLAZA CIR STE 910
Second Line :
City : TYLER
State : TX
Zip : 75701-1915
Country : US
Telephone Number : 903-705-0072
Fax Number : 903-705-0068
Provider Business Practice Location Address
First Line : 910 E HOUSTON ST STE 100
Second Line :
City : TYLER
State : TX
Zip : 75702-8363
Country : US
Telephone Number : 903-705-0072
Fax Number : 903-705-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 06/02/2026

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Directions to “ DR. MICHAEL DAVID WILLIAMS M.D.” Practice Location

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