MEDICARE: ROBERT A. WILLIAMSON JR. M.D.

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	M6956	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013929017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A. WILLIAMSON JR. M.D.

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PKWY
Second Line	:	SUITE 215 - CREDENTIALING
City	:	AUSTIN
State	:	TX
Zip	:	78759-5290
Country	:	US
Telephone Number	:	512-231-5507
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	6811 AUSTIN CENTER BLVD
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78731-3146
Country	:	US
Telephone Number	:	512-346-8888
Fax Number	:	512-406-7321

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	10/21/2016

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