Organization
KELVIN R. WILLIAMS
Active
Other names
Clear Choice Medical Distribution
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN R WILLIAMS (OWNER)
(512) 326-4714
Entity
Organization
Contact information
Practice address
8868 RESEARCH BLVD, STE 406, AUSTIN, TX 78758-6497
(512) 326-4714
(512) 326-4700
Mailing address
8868 RESEARCH BLVD, STE 406, AUSTIN, TX 78758-6497
(512) 326-4714
(512) 326-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0076001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168772501
—
TX
Enumeration date
11/02/2007
Last updated
11/02/2007
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