Individual
DR. CHARLES R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL AVE, SUITE 502, LONGVIEW, TX 75601-5659
(903) 315-4435
(903) 236-4766
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4119
(903) 315-4130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
F7304
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
F7304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089595501
—
TX
Enumeration date
12/29/2005
Last updated
01/23/2014
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