Individual
ALLEN C. WILLIAMSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, #501, PORT ARTHUR, TX 77640-2000
(409) 729-2555
(409) 729-2542
Mailing address
2501 JIMMY JOHNSON BLVD, #501, PORT ARTHUR, TX 77640-2000
(409) 729-2555
(409) 729-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119247804
—
TX
Enumeration date
07/20/2005
Last updated
02/06/2012
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