MEDICARE: DR. VERNON FLORINZEL WILLIAMS 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	207P00000X	Emergency Medicine Physician	H9732	TX
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	H9732	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	:	1033180252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERNON FLORINZEL WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	112 CANTER GAIT
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78231-1458
Country	:	US
Telephone Number	:	210-559-5959
Fax Number	:	210-479-9605

Provider Business Practice Location Address
First Line	:	1905 HIGHWAY 97 E
Second Line	:
City	:	JOURDANTON
State	:	TX
Zip	:	78026-1504
Country	:	US
Telephone Number	:	210-559-5959
Fax Number	:	210-479-9605

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/29/2014

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Directions to “ DR. VERNON FLORINZEL WILLIAMS M.D.” Practice Location

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