Individual provider · Type 1 NPI
Richard Tyler Williamson, DO
Military Health Care Provider · Fort Novosel, AL
NPI number
1700584950
Active
Practice location
Building 301 Andrews Avenue
Fort Novosel, AL 78266
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1700584950
Richard Tyler Williamson, DO's National Provider Identifier is 1700584950, issued on Feb 17, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Novosel, AL. The record was last updated on Jun 13, 2024.