Individual
EDARION R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 E WINTERGREEN RD APT 1A, DESOTO, TX 75115-2413
(870) 663-3059
Mailing address
320 E WINTERGREEN RD APT 1A, DESOTO, TX 75115-2413
(870) 663-3059
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
347C00000X
Private Vehicle
—
TX
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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