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Organization

DWAYNE O. WILLIAMS, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DWAYNE ONEAL WILLIAMS M.D. (OWNER)
(281) 238-3100
Entity
Organization

Contact information

Practice address
17510 W GRAND PKWY S, SUITE 180, SUGAR LAND, TX 77479-2645
(281) 238-3100
(281) 238-3101
Mailing address
17510 W GRAND PKWY S, SUITE 180, SUGAR LAND, TX 77479-2645
(281) 238-3100
(281) 238-3101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4796
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131699407
TX
Enumeration date
12/11/2008
Last updated
12/11/2008
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