Healthcare Provider Details

I. General information

NPI: 1942377536
Provider Name (Legal Business Name): EMILIA L. DAUWAY-WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 A 31ST ST
TEMPLE TX
76508-0001
US

IV. Provider business mailing address

PO BOX 847408
DALLAS TX
75284-7408
US

V. Phone/Fax

Practice location:
  • Phone: 254-724-2111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD-13597
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP2226
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberP2226
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: