MEDICARE: COURTNEY G.A. 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	207L00000X	Anesthesiology Physician	J5060	TX

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

General Provider Information

NPI Number	:	1902968134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY G.A. WILLIAMS MD

Provider Business Mailing Address
First Line	:	PO BOX 650859
Second Line	:	DEPT 710
City	:	DALLAS
State	:	TX
Zip	:	75265-0859
Country	:	US
Telephone Number	:	409-772-0848
Fax Number	:	409-772-0885

Provider Business Practice Location Address
First Line	:	9300 EMMETT F LOWRY EXPY STE 138
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2133
Country	:	US
Telephone Number	:	409-772-0848
Fax Number	:	409-772-0885

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	09/03/2025

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