Organization
FONDREN ADVANCED CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WILLIAMSON MD (PRINCIPLE PHYSICIAN)
(713) 799-2300
Entity
Organization
Contact information
Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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