Individual
TERRY E. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-8571
(281) 332-8307
Mailing address
12 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-8571
(281) 332-8307
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E2391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000903
MEDICARE RAILROAD
TX
01
—
81342X
BCBS OF TEXAS
TX
Enumeration date
08/11/2005
Last updated
03/17/2011
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