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Individual

DR. DIANNE LOUISE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 735-5696
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1366
SC
152W00000X
Optometrist
7308
TX
152W00000X
Optometrist
Primary
OPC5915
FL
152WV0400X
Vision Therapy Optometrist
1366
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235129206
NPI
Enumeration date
10/21/2005
Last updated
03/18/2024
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