Individual
DR. ANTHONY TYLER WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3429 N TWIN CITY HWY, PORT ARTHUR, TX 77642-2102
(409) 963-0173
Mailing address
2555 95TH ST, APT 608, PORT ARTHUR, TX 77640-1552
(903) 570-6092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8932T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8932T
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
06/19/2016
Last updated
08/10/2016
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