Individual
DALLAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
127 MEDICAL PARK LN, HUNTSVILLE, TX 77340-4972
(936) 294-0283
(936) 294-9878
Mailing address
127 MEDICAL PARK LN, HUNTSVILLE, TX 77340-4972
(936) 294-0283
(936) 294-9878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85643T
BLUECROSS BLUESHIELD
TX
Enumeration date
01/25/2007
Last updated
09/01/2012
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