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NPI Code Detail

MEDICARE: MARK A WILLIAMSON MD

MEDICARE: MARK A WILLIAMSON 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
12084P0804XChild & Adolescent Psychiatry PhysicianH4855TX
22084P0800XPsychiatry PhysicianH4855TX

General Provider Information

NPI Number : 1760591028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A WILLIAMSON MD
Provider Business Mailing Address
First Line : 9401 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-7000
Fax Number : 713-970-7246
Provider Business Practice Location Address
First Line : 5901 LONG DR
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1003
Country : US
Telephone Number : 713-970-7000
Fax Number : 713-970-7246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/29/2019

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