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Individual

JOHN J WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 BARBARA JORDAN BLVD., SUITE 300, AUSTIN, TX 78723
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD., SUITE 300, AUSTIN, TX 78723
(512) 478-8116
(512) 478-9368

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J1815
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
J1815
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
J1815
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1624223-02
TX
05
1624223-06
TX
01
1624223-07
MEDICAID CSHCN ROT
TX
01
162422303
MEDICAID CSHCN
TX
01
87W190
BCBS INDIVIDUAL #
TX
Enumeration date
02/14/2006
Last updated
09/18/2012
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