Healthcare Provider Details

I. General information

NPI: 1346397080
Provider Name (Legal Business Name): DENNIS WAYNE WILLIAMSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 12/14/2021
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4702 NORTHWEST HWY
GARLAND TX
75043-4912
US

IV. Provider business mailing address

4702 NORTHWEST HWY
GARLAND TX
75043-4912
US

V. Phone/Fax

Practice location:
  • Phone: 972-270-5333
  • Fax: 972-270-5335
Mailing address:
  • Phone: 972-270-5333
  • Fax: 972-270-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number10235
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number10235
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number10235
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10235
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: