Individual
GLEN WILLIAMS JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT.R.CT.CV.MR
Taxonomy
Speciality
Code
Description
License number
State
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
Primary
212190
TX
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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