Individual
TYQUANDARIUS WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1940 CARSWELL AVE BLDG 7002, SAN ANTONIO, TX 78236-5514
(210) 916-9900
Mailing address
1940 CARSWELL AVE BLDG 7002, SAN ANTONIO, TX 78236-5514
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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