Organization
W SAM WILLIAMS JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFORD S WILLIAMS JR. MD (OWNER)
(361) 771-3311
Entity
Organization
Contact information
Practice address
204 SOUTH 4TH STREET, GANADO, TX 77962-1210
(361) 771-3311
(361) 771-3081
Mailing address
PO BOX 1210, GANADO, TX 77962-1210
(361) 771-3311
(361) 771-3081
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
11/05/2013
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