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Individual
HENRY MALONE WILLIAMS JR.
Active
Individual
HENRY MALONE WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0101002839
VA
363AS0400X
Surgical Physician Assistant
PA00752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180134201
—
TX
01
—
8397J5
BLUE CROSS BLUE SHIELD
TX
01
—
970018025
RAILROAD MEDICARE
TX
Enumeration date
07/13/2006
Last updated
03/07/2023
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