MEDICARE: DAVID L WILLIAMS MD

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
1	207Q00000X	Family Medicine Physician	G0286	TX
2	207Q00000X	Family Medicine Physician	R3533	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1174523260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L WILLIAMS MD

Provider Business Mailing Address
First Line	:	3426 CENTRAL AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6277
Country	:	US
Telephone Number	:	501-318-9895
Fax Number	:	501-318-9906

Provider Business Practice Location Address
First Line	:	3426 CENTRAL AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6277
Country	:	US
Telephone Number	:	501-318-9895
Fax Number	:	501-318-9906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	06/04/2016

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Directions to “ DAVID L WILLIAMS MD” Practice Location

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