Organization
E P TED WILLIAMS MDPA
Active
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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