Individual
DARRELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 TENAHA ST, CENTER, TX 75935-3432
(936) 598-5633
(936) 598-8513
Mailing address
4222 FM 417 W, CENTER, TX 75935-6165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111221
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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