Organization · Type 2 NPI

W Sam Williams JR MD PA

Clinic/Center · Ganado, TX

NPI number 1154350296 Active

Practice location

204 South 4th Street
Ganado, TX 77962-1210

Fax (361) 771-3081

Mailing address

PO Box 1210
Ganado, TX 77962-1210

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

About NPI 1154350296

W Sam Williams JR MD PA's National Provider Identifier is 1154350296, issued on Jul 1, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ganado, TX. The record was last updated on Nov 5, 2013.