Individual
FAYETTE CREED WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1625 SAINT LOUIS AVENUE, HOUSE STAFF & GME, FORT WORTH, TX 76104
(817) 927-1325
(817) 927-1035
Mailing address
1625 SAINT LOUIS AVENUE, HOUSE STAFF & GME, FORT WORTH, TX 76104
(817) 927-1325
(817) 927-1035
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21161
TX
Other
Enumeration date
06/09/2007
Last updated
07/22/2011
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