Individual
CHARLES B WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2568
Mailing address
2714 BROADMOOR DR, BRYAN, TX 77802-2119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K4296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047549303
—
TX
05
—
047549310
—
TX
05
—
047549311
—
TX
01
—
8K9573
BCBS
TX
01
—
P00147303
RAILROAD MEDICARE
TX
Enumeration date
06/02/2006
Last updated
06/29/2011
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