Individual
MR. CARL ROBERT WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
315 CAMERON TRL, LAKEHILLS, TX 78063-6262
(210) 232-4981
Mailing address
315 CAMERON TRL, LAKEHILLS, TX 78063-6262
(830) 751-2907
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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