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Individual

EMILY E WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7777 FOREST LN STE C840, DALLAS, TX 75230-2594
(740) 357-2431
Mailing address
1400 HI LINE DR APT 807, DALLAS, TX 75207-3425
(740) 357-2431

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208G00000X
OH
363A00000X
Physician Assistant
Primary
PA14864
TX
363AS0400X
Surgical Physician Assistant
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA14864
STATE LICENSE
TX
Enumeration date
11/13/2019
Last updated
01/11/2023
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