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Organization

E P TED WILLIAMS MDPA

Active
Other names
Genesis Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDMUND PAYNE WILLIAMS IV M.D. (OWNER)
(210) 404-9696
Entity
Organization

Contact information

Practice address
7122 STONEWALL HL, SAN ANTONIO, TX 78256-1926
(210) 404-9696
(210) 404-9466
Mailing address
7122 STONEWALL HL, SAN ANTONIO, TX 78256-1926
(210) 404-9696
(210) 404-9466

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G3912
TX
2084P0804X
Child & Adolescent Psychiatry Physician
G3912
TX
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138419010
TX
Enumeration date
09/03/2009
Last updated
05/14/2025
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