Individual
MR. CARL ROBERT WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 2328
AZ
363AM0700X
Medical Physician Assistant
Primary
PA00167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24913710
CENTRAL CONTRACTOR REGISTRATION; TRADING PARTNER IDENTIFICATION NUMBER
MI
Enumeration date
09/17/2008
Last updated
03/26/2013
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