Organization
JOHN C. WILLIAMSON, MD
Active
Other names
Capitol Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MOORE (BILLING MANAGER)
(512) 617-3522
Entity
Organization
Contact information
Practice address
4007 JAMES CASEY ST, C150, AUSTIN, TX 78745-3369
(512) 617-3522
(512) 443-1062
Mailing address
4007 JAMES CASEY ST, C150, AUSTIN, TX 78745-3369
(512) 617-3522
(512) 443-1062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H05E
BLUE CROSS BLUE SHIELD
TX
05
—
082871701
—
TX
Enumeration date
05/15/2006
Last updated
08/14/2008
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