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NPI Code Detail

MEDICARE: DEBBIE L WILLIAMS P.A.

MEDICARE: DEBBIE L WILLIAMS P.A.
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
1363A00000XPhysician Assistant12233GA
2363AS0400XSurgical Physician AssistantPA2311TN
3363AS0400XSurgical Physician AssistantPA03689TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24348378OTHERBCBS

General Provider Information

NPI Number : 1164497509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBIE L WILLIAMS P.A.
Provider Business Mailing Address
First Line : 2700 E BROAD ST
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 E BROAD ST
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5899
Country : US
Telephone Number : 214-947-2874
Fax Number : 214-947-2884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/03/2025

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Directions to “ DEBBIE L WILLIAMS P.A.” Practice Location

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