Individual
DR. KENNETH EGBERT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13601 PRESTON RD, STE 1000W, DALLAS, TX 75240-4911
(972) 715-5007
(972) 715-5682
Mailing address
PO BOX 650802, DALLAS, TX 75265-0802
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J8420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135314604
—
TX
05
—
135314613
—
TX
05
—
135314614
—
TX
05
—
135314615
—
TX
01
—
8CD667
BCBS
TX
01
—
8CN978
BCBS
TX
01
—
BCBS
8CG951
TX
Enumeration date
01/27/2006
Last updated
08/19/2011
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