Individual
JASON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 US HIGHWAY 79 S STE B, HENDERSON, TX 75654-3641
(903) 657-1702
(903) 657-4560
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
TX
237700000X
Hearing Instrument Specialist
Primary
80409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205718-01
—
TX
Enumeration date
01/17/2014
Last updated
12/06/2018
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