Individual
PATRELLA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 W STAN SCHLUETER LOOP, STE A 600, KILLEEN, TX 76549
(901) 857-3181
Mailing address
2901 CAMP COOPER DR, KILLEEN, TX 76549-5881
(901) 857-3198
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1629036
TX
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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