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NPI Code Detail

MEDICARE: EMILY D WILLIAMS PA

MEDICARE:   EMILY D WILLIAMS  PA
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
1363A00000XPhysician AssistantPA02524TX

General Provider Information

NPI Number : 1881790913
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY D WILLIAMS PA
Provider Business Mailing Address
First Line : 1009 N 4TH ST STE A
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-4768
Country : US
Telephone Number : 903-757-3808
Fax Number : 903-757-3893
Provider Business Practice Location Address
First Line : 1009 N 4TH ST STE A
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-4768
Country : US
Telephone Number : 903-757-3808
Fax Number : 903-757-3893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 10/02/2025

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Directions to “ EMILY D WILLIAMS PA” Practice Location

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