Organization
ELLA M WILLIAMS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA M WILLIAMS MD (OWNER)
(817) 293-9910
Entity
Organization
Contact information
Practice address
11797 SOUTH FWY, SUITE 226, BURLESON, TX 76028-7026
(817) 293-9910
(817) 293-9911
Mailing address
11797 SOUTH FWY, SUITE 226, BURLESON, TX 76028-7026
(817) 293-9910
(817) 293-9911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K2385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00579U
MEDICARE
TX
05
—
156304101
—
TX
Enumeration date
06/26/2006
Last updated
07/23/2008
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