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Individual

DR. JOHN WESLEY WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1602 ROCK PRAIRIE RD STE 3000, COLLEGE STATION, TX 77845-5989
(979) 696-3171
Mailing address
1602 ROCK PRAIRIE RD STE. 3000, COLLEGE STATION, TX 77845
(979) 696-3171

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
052240
GA
208600000X
Surgery Physician
Primary
P8629
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
332647202
TX
01
8LJ359
BCBS PROVIDER ID
TX
Enumeration date
09/24/2006
Last updated
08/02/2021
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