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Individual

DR. LUCIA LEIGH WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
203 NACOGDOCHES STREET, SUITE 340, JACKSONVILLE, TX 75766-2444
(903) 586-8100
(903) 589-3791
Mailing address
203 NACOGDOCHES STREET, SUITE 340, JACKSONVILLE, TX 75766-2444
(903) 586-8100
(903) 589-3791

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9013
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031608503
TX
01
117029
SUPERIOR ID
TX
01
8J0340
BCBS PROVIDER ID
TX
01
P00603174
MEDICARE RAILROAD PIN
TX
Enumeration date
09/26/2006
Last updated
07/09/2009
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