Individual
JOHN GRADY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M6955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00400493
RR MEDICARE
—
Enumeration date
05/06/2006
Last updated
10/03/2018
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