Individual
JEFFREY LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
906 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 331-0506
(903) 331-0462
Mailing address
PO BOX 2527, LONGVIEW, TX 75606-2527
(903) 331-0506
(903) 331-0462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
716652
TX
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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