Healthcare Provider Details

I. General information

NPI: 1356371835
Provider Name (Legal Business Name): JOSEPH RALPH WILLIAMS II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: J R WILLIAMS II MD

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 05/23/2022
Certification Date: 05/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5323 HARRY HINES BLVD
DALLAS TX
75390-7208
US

IV. Provider business mailing address

PO BOX 845347
DALLAS TX
75284-5347
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8898
  • Fax:
Mailing address:
  • Phone: 214-645-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberE9022
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberE9022
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: