Individual
MR. BLAKE COLTEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2301 CLEAR CREEK RD STE 220, KILLEEN, TX 76549-4198
(254) 998-5001
(254) 519-1849
Mailing address
17855 DALLAS PKWY STE 200, DALLAS, TX 75287-6857
(800) 834-3059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1027257
TX
363LA2200X
Adult Health Nurse Practitioner
1027257
TX
363LG0600X
Gerontology Nurse Practitioner
1027257
TX
Other
Enumeration date
01/16/2021
Last updated
07/16/2026
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