1033122437 NPI number — AUSTIN OSCAR WILLIAMS, M.D., P.A.

Table of content: (NPI 1033122437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033122437 NPI number — AUSTIN OSCAR WILLIAMS, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUSTIN OSCAR WILLIAMS, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033122437
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 725
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSOURI CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77459-0725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-665-5959
Provider Business Mailing Address Fax Number:
713-665-5161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7015 ALMEDA RD # 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054-2101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-665-5959
Provider Business Practice Location Address Fax Number:
713-665-5161
Provider Enumeration Date:
08/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
AUSTIN
Authorized Official Middle Name:
OSCAR
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
713-665-5959

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  J9934 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 106346305 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: DF2491 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".