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Individual

RANDY WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 416-1575
(850) 416-2160
Mailing address
2102 TREASURE HILLS BLVD # 3.14406, HARLINGEN, TX 78550-8736
(956) 296-1437
(956) 296-6842

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
43257
TN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
E-6153
AR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME146564
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Q1773
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2088965-04
TX
01
8HQ341
BCBS
TX
Enumeration date
01/04/2007
Last updated
01/28/2021
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