MEDICARE: SHIRLEY A. 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	207RC0000X	Cardiovascular Disease Physician	G7379	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060036733	OTHER	TX	RAILROAD MEDICARE

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	86T916	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1346298304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY A. WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	614 S EDMONDS LN STE 101
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3624
Country	:	US
Telephone Number	:	972-434-1988
Fax Number	:	972-436-0351

Provider Business Practice Location Address
First Line	:	1000 FLOWER MOUND RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-3401
Country	:	US
Telephone Number	:	972-434-1988
Fax Number	:

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/27/2023

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Directions to “ SHIRLEY A. WILLIAMS M.D.” Practice Location

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