Individual
DWIGHT C WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
608 N KEY AVE, LAMPASAS, TX 76550-1106
(512) 556-3682
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
569558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030C
BCBS
TX
01
—
109960803
SUPERIOR HEALTH CHIP
TX
05
—
109960803
—
TX
01
—
126101500
DEPARTMENT OF LABOR
TX
01
—
126922101
FIRST CARE
TX
01
—
281360
SCOTT & WHITE
TX
01
—
742933806
TRICARE
TX
Enumeration date
11/23/2005
Last updated
01/28/2008
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