Individual
BENJAMIN JAMES WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18220 STATE HIGHWAY 249 STE 1360, HOUSTON, TX 77070-4347
(281) 737-1005
(281) 737-1150
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220221001
—
TX
05
—
2327216
—
LA
01
—
8222UB
BLUE CROSS BLUE SHIELD
TX
01
—
P00943020
RAILROAD MEDICARE
TX
Enumeration date
01/20/2011
Last updated
05/07/2020
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