# KILGORE INTEGRATED HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215363312
- **Authorized official:** DR. JONATHAN W WILLIAMS M.D. (OWNER)
- **Authorized official phone:** (940) 569-1177

## Contact information

- **Practice address:** 726 US HIGHWAY 259 N, KILGORE, TX 75662
- **Practice address phone:** (903) 984-5522
- **Practice address fax:** (903) 984-5547
- **Mailing address:** 726 US HIGHWAY 259 N, KILGORE, TX 75662-6042
- **Mailing address phone:** (903) 984-5522
- **Mailing address fax:** (903) 984-5547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 08/13/2018