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Individual
MELODY WILLIAMS
Active
Individual
MELODY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01734
TX
363AM0700X
Medical Physician Assistant
PA01734
TX
363AM0700X
Medical Physician Assistant
TX01734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205892221
TRICARE SOUTH
TX
05
—
194384701
—
TX
05
—
194384702
—
TX
01
—
8Y8232
BCBSTX
TX
Enumeration date
04/26/2006
Last updated
02/26/2013
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