Organization
BAY AREA DERMATOLOGY ASSOCIATES
Active
Organization
BAY AREA DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY EARL WILLIAMS M.D. (OWNER PHYSICIAN)
(281) 332-8571
Entity
Organization
Contact information
Practice address
12 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(281) 332-8571
(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
01
—
CK2746
MEDICARE RR
—
Enumeration date
01/25/2006
Last updated
04/01/2008
Update your record
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