# CREEK STONE INTEGRATED MEDICAL PLLC

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

## Provider details

- **NPI number:** 1487222683
- **Authorized official:** JEFFERY WILLIAMS DC (OWNER)
- **Authorized official phone:** (806) 355-3000

## Contact information

- **Practice address:** 3501 SW 45TH AVE STE T, AMARILLO, TX 79109-5676
- **Practice address phone:** (806) 355-3000
- **Practice address fax:** (806) 418-2305
- **Mailing address:** 3501 SW 45TH AVE STE T, AMARILLO, TX 79109-5676
- **Mailing address phone:** (806) 355-3000
- **Mailing address fax:** (806) 418-2305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2021
- **Last updated:** 06/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1871591909 | INDIVIDUAL NPI | — |