Individual
GREGORY D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
(903) 315-5383
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
(903) 315-5383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05156
TX
363AM0700X
Medical Physician Assistant
PA.200052
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05156
LICENSE
TX
Enumeration date
02/26/2007
Last updated
04/25/2014
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