Individual
TAMMY MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6688
(580) 286-6699
Mailing address
601 E WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-6688
(580) 286-6699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 1240
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004690A
—
OK
Enumeration date
02/09/2006
Last updated
05/06/2026
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