Organization
BAY AREA DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY EARL WILLIAMS M.D. (OWNER PHYSICIAN)
(281) 332-8571
Entity
Organization
Contact information
Practice address
6807 EMMETT LOWRY EXPRESSWAY, SUITE 306, TEXAS CITY, TX 77591
(409) 938-1260
(281) 332-8307
Mailing address
12 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-8571
(281) 332-8307
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081DE
BCBS OF TEXAS
TX
Enumeration date
01/30/2006
Last updated
03/04/2008
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