Organization
MEDICAL SURGICAL & COMPCARE ENVIVA PLLC
Active
Other names
MSAC-Enviva
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY D WILLIAMS DC (OWNER)
(903) 874-5866
Entity
Organization
Contact information
Practice address
219 W 6TH AVE, CORSICANA, TX 75110-5243
(903) 874-5866
(903) 874-5083
Mailing address
1430 W 7TH AVE, CORSICANA, TX 75110-6369
(903) 874-5866
(903) 874-5083
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
9221
TX
207X00000X
Orthopaedic Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
AP116039
TX
363LX0106X
Occupational Health Nurse Practitioner
AP116039
TX
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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