MEDICARE: DR. NEIL P WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	H4798	TX

General Provider Information

NPI Number	:	1003810086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL P WILLIAMS MD

Provider Business Mailing Address
First Line	:	400 W IH 635 FWY
Second Line	:	SUITE360
City	:	IRVING
State	:	TX
Zip	:	75063-3707
Country	:	US
Telephone Number	:	972-404-8404
Fax Number	:	972-402-9401

Provider Business Practice Location Address
First Line	:	400 W IH 635 FWY
Second Line	:	STE 360
City	:	IRVING
State	:	TX
Zip	:	75063-3764
Country	:	US
Telephone Number	:	972-402-8404
Fax Number	:	972-402-9401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	01/14/2008

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