Individual
KEVIN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1413 BROADWAY ST, DENTON, TX 76201
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 50993, DENTON, TX 76206-0993
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
143202
TX
Other
Enumeration date
11/11/2013
Last updated
08/30/2019
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