# HENRY MALONE WILLIAMS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265457527
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 0101002839 | VA | Yes |
| 363AS0400X | Surgical Physician Assistant | PA00752 | TX | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 180134201 | — | TX |
| 01 | — | 8397J5 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | 970018025 | RAILROAD MEDICARE | TX |