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NPI Code Detail

MEDICARE: SCOTT MICHAEL WILLIAMS MD

MEDICARE: SCOTT MICHAEL WILLIAMS 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
12084P0800XPsychiatry PhysicianS7373TX

General Provider Information

NPI Number : 1912430679
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT MICHAEL WILLIAMS MD
Provider Business Mailing Address
First Line : 903 W MARTIN ST # MS 49-2
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-0903
Country : US
Telephone Number : 210-358-0572
Fax Number : 210-358-5940
Provider Business Practice Location Address
First Line : 200 N COMAL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3505
Country : US
Telephone Number : 201-358-5909
Fax Number : 210-358-5940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2017
Last Update Date : 09/10/2024

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