Individual
DR. MICHAEL RAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
415 S WASHINGTON ST, FREDERICKSBURG, TX 78624-4636
(830) 997-9170
(830) 997-9226
Mailing address
PO BOX 233, FREDERICKSBURG, TX 78624-0233
(830) 997-9170
(830) 997-9226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
GO288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88770G
BCBS TX
TX
Enumeration date
03/08/2006
Last updated
11/29/2007
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