MEDICARE: BALMORE W 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	207Q00000X	Family Medicine Physician	L2751	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
2	8143693	OTHER	TX	CIGNA
3	7486286	OTHER	TX	AETNA
4	8B9860	OTHER	TX	BCBS PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932103629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BALMORE W WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	202 N WASHINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327
Country	:	US
Telephone Number	:	281-592-2656
Fax Number	:	281-592-9723

Provider Business Practice Location Address
First Line	:	202 N WASHINGTON AVE
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327
Country	:	US
Telephone Number	:	281-592-2656
Fax Number	:	281-592-9723

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/28/2025

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Directions to “ BALMORE W WILLIAMS M.D.” Practice Location

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