MEDICARE: DR. AUSTIN OSCAR WILLIAMS SR. 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	207R00000X	Internal Medicine Physician	J9934	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	01-0744731	OTHER	TX	TAX ID

General Provider Information

NPI Number	:	1255433611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN OSCAR WILLIAMS SR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 725
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-0725
Country	:	US
Telephone Number	:	713-665-5959
Fax Number	:	713-665-5161

Provider Business Practice Location Address
First Line	:	7015 ALMEDA RD # 5
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2101
Country	:	US
Telephone Number	:	713-665-5959
Fax Number	:	713-665-5161

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	03/31/2011

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