Organization
TRI-COUNTY WOMENS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA LEIGH WILLIAMS MD (OWNER)
(903) 586-8100
Entity
Organization
Contact information
Practice address
203 NACOGDOCHES STREET, SUITE 340, JACKSONVILLE, TX 75766-2444
(903) 586-8100
(903) 589-3791
Mailing address
203 NACOGDOCHES STREET, SUITE 340, JACKSONVILLE, TX 75766-2444
(903) 586-8100
(903) 589-3791
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049JY
BCBS PIN
TX
05
—
201870701
—
TX
01
—
DN0776
MEDICARE RAILROAD PIN
TX
Enumeration date
09/28/2006
Last updated
11/13/2009
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