Individual
MR. BLAKE COLTEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
546 N KEGLEY RD, TEMPLE, TX 76502-4069
(254) 215-0900
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1027257
TX
Other
Enumeration date
01/16/2021
Last updated
03/23/2021
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