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NPI Code Detail

MEDICARE: COREY WILLIAMS

MEDICARE:   COREY  WILLIAMS
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
1163WP0200XPediatric Registered Nurse660781TX

General Provider Information

NPI Number : 1376957936
Entity Type Code : Individual
Provider Name (Legal Business Name) : COREY WILLIAMS
Provider Business Mailing Address
First Line : 770 N INTERSTATE 35 APT 127
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-8402
Country : US
Telephone Number : 254-718-4900
Fax Number :
Provider Business Practice Location Address
First Line : 770 N INTERSTATE 35 APT 127
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-8402
Country : US
Telephone Number : 254-718-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2014
Last Update Date : 06/11/2014

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Directions to “ COREY WILLIAMS ” Practice Location

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