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NPI Code Detail

MEDICARE: ANNETTE LYNN WILLIAMS M.D.

MEDICARE: ANNETTE LYNN 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
1207P00000XEmergency Medicine PhysicianN4203TX
2207P00000XEmergency Medicine Physician35084955OH

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 : 1639127087
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE LYNN WILLIAMS M.D.
Provider Business Mailing Address
First Line : 3511 HILLDALE POINT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261
Country : US
Telephone Number : 210-508-3203
Fax Number :
Provider Business Practice Location Address
First Line : BROOKE ARMY MEDICAL CENTER
Second Line : 3551 ROGER BROOKE DR
City : FORT SAM HOUSTON
State : TX
Zip : 78234
Country : US
Telephone Number : 210-539-9582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 10/28/2021

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Directions to “ ANNETTE LYNN WILLIAMS M.D.” Practice Location

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