Individual
HOMER HERBERT WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09007R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1928534
—
LA
Enumeration date
07/18/2006
Last updated
03/04/2014
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