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Organization
CREEK STONE INTEGRATED MEDICAL PLLC
Active
Organization
CREEK STONE INTEGRATED MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY WILLIAMS DC (OWNER)
(806) 355-3000
Entity
Organization
Contact information
Practice address
3501 SW 45TH AVE STE T, AMARILLO, TX 79109-5676
(806) 355-3000
(806) 418-2305
Mailing address
3501 SW 45TH AVE STE T, AMARILLO, TX 79109-5676
(806) 355-3000
(806) 418-2305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871591909
INDIVIDUAL NPI
—
Enumeration date
06/14/2021
Last updated
06/14/2021
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