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NPI 1104912591

NPI 1104912591 : TROY R WILLIAMS MD : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1104912591
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    Entity Type          |    Individual 
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    Provider Name        |    TROY R WILLIAMS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    05/24/2023
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Provider Practice Location Address
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    Address Line         |    8300 N LAMAR BLVD STE 200A 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78753-5976
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    Country              |    US
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    Telephone            |    512-575-9555
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    Fax                  |    512-782-9316
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Provider Business Mailing Address
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    Address Line         |    3031 W IH 10 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78201-5159
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    Country              |    US
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    Telephone            |    210-261-1000
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    Fax                  |    210-731-8678
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    N4206
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    License Number State |    TX
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