MEDICARE: GETHIN 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
1	2085R0204X	Vascular & Interventional Radiology Physician	2303099	MA
2	2085R0202X	Diagnostic Radiology Physician	230399	MA
3	2085R0204X	Vascular & Interventional Radiology Physician	P1249	TX
4	207U00000X	Nuclear Medicine Physician	230399	MA
5	2085R0202X	Diagnostic Radiology Physician	P1249	TX
6	2085N0904X	Nuclear Radiology Physician	230399	MA

General Provider Information

NPI Number	:	1235202482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GETHIN WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	1310 MURCHISON DR STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4821
Country	:	US
Telephone Number	:	915-303-8977
Fax Number	:	915-779-9988

Provider Business Practice Location Address
First Line	:	1310 MURCHISON DR STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4821
Country	:	US
Telephone Number	:	915-303-8977
Fax Number	:	915-779-9988

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	03/05/2026

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