Individual
JEFFREY G MCWILLIAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 6TH ST UNIT A, LONGVIEW, TX 75601-5567
(903) 232-8928
(903) 234-1639
Mailing address
112 OAK ISLE, LONGVIEW, TX 75605
(903) 663-0396
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
269656
OK
207P00000X
Emergency Medicine Physician
MD203850
LA
207P00000X
Emergency Medicine Physician
Primary
N7143
TX
208D00000X
General Practice Physician
N7143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09891
—
LA
05
—
216797510
—
TX
Enumeration date
05/25/2007
Last updated
07/22/2022
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