MEDICARE: LESTER BERT WILLIAMS DC

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	111N00000X	Chiropractor	DC 2391	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4357782	OTHER		AETNA
2	8J2950	OTHER		BCBS

General Provider Information

NPI Number	:	1316930514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESTER BERT WILLIAMS DC

Provider Business Mailing Address
First Line	:	3960 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3521
Country	:	US
Telephone Number	:	281-440-6355
Fax Number	:	281-440-0401

Provider Business Practice Location Address
First Line	:	3960 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3521
Country	:	US
Telephone Number	:	281-440-6355
Fax Number	:	281-440-0401

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	12/03/2007

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Directions to “ LESTER BERT WILLIAMS DC” Practice Location

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