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NPI Code Detail

MEDICARE: MR. BRUCE L WILLIAMSON

MEDICARE:  MR. BRUCE L WILLIAMSON
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
1101YM0800XMental Health Counselor89097TX

General Provider Information

NPI Number : 1467316661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE L WILLIAMSON
Provider Business Mailing Address
First Line : 10707 CORPORATE DR STE 222
Second Line :
City : STAFFORD
State : TX
Zip : 77477-4001
Country : US
Telephone Number : 832-532-1029
Fax Number :
Provider Business Practice Location Address
First Line : 10707 CORPORATE DR STE 222
Second Line :
City : STAFFORD
State : TX
Zip : 77477-4001
Country : US
Telephone Number : 832-532-1029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ MR. BRUCE L WILLIAMSON ” Practice Location

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