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Individual
LILLIAN E WILLIAMS
Active
Individual
LILLIAN E WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1077607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190946704
—
TX
01
—
1952501447
NPI
TX
01
—
504737ZUQA
MEDICARE PROVIDER NUMBER
TX
01
—
PA05337
LICENSE
TX
Enumeration date
07/23/2007
Last updated
06/26/2020
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