Individual
STUART F WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 MIRON DR STE 110, SOUTHLAKE, TX 76092
(817) 416-0970
(817) 498-0898
Mailing address
230 MIRON DR STE 110, SOUTHLAKE, TX 76092-7846
(817) 416-0970
(817) 498-0898
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1536
SC
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G0289
TX
207Q00000X
Family Medicine Physician
1536
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015361
—
SC
01
—
080170217
RAILROAD MEDICARE PIN
TX
05
—
118515904
—
TX
01
—
83036G
BCBS
TX
Enumeration date
02/08/2006
Last updated
05/25/2018
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