Individual
JACK BRYAN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 791-9395
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 791-9395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H5501
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
H5501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105227602
—
TX
Enumeration date
10/11/2005
Last updated
11/30/2020
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