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General NPI Number Information
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NPI Number | 1093827214
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Entity Type | Individual
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Provider Name | PETER MAAG WILLIAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP, BLDG 4554 59MDW/SGHC
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City | JBSA - LACKLAND
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State | TX
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Zip | 78236
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Country | US
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Telephone | 210-292-5256
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E BASSE RD APT 1403
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City | SAN ANTONIO
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State | TX
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Zip | 78209-8388
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036172839
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD448897
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License Number State | PA
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