Individual
DR. NATHAN EDWARD WILLIAMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 481-2121
(817) 488-4493
Mailing address
2535 IRA E WOODS AVE, GRAPEVINE, TX 76051-3930
(817) 481-2121
(817) 488-4493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.087415
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
N2883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205589902
—
TX
01
—
8CU145
BCBSTX
TX
Enumeration date
03/20/2007
Last updated
04/27/2020
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