MEDICARE: DR. PHILLIP EARLE 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	207T00000X	Neurological Surgery Physician	MDD2172	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

General Provider Information

NPI Number	:	1306800750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP EARLE WILLIAMS MD

Provider Business Mailing Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	# 1000
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-369-3333
Fax Number	:	214-369-9933

Provider Business Practice Location Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	# 1000
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-369-3333
Fax Number	:	214-369-9933

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	08/27/2008

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