Individual
BRADLEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12225 TANGLEWILD DR, AUSTIN, TX 78758-2628
(512) 649-1590
Mailing address
12225 TANGLEWILD DR, AUSTIN, TX 78758-2628
(512) 649-1590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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