MEDICARE: WILLIAM DANIEL WILLIAMSON 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	2080P0006X	Developmental - Behavioral Pediatrics Physician	F2994	TX
2	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	F2994	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8W7644	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1114929866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DANIEL WILLIAMSON M.D.

Provider Business Mailing Address
First Line	:	6655 TRAVIS ST
Second Line	:	SUITE 880
City	:	HOUSTON
State	:	TX
Zip	:	77030-1312
Country	:	US
Telephone Number	:	713-500-8300
Fax Number	:	713-500-8289

Provider Business Practice Location Address
First Line	:	6655 TRAVIS ST
Second Line	:	SUITE 880
City	:	HOUSTON
State	:	TX
Zip	:	77030-1312
Country	:	US
Telephone Number	:	713-500-8300
Fax Number	:	713-500-8289

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	04/02/2008

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