1487833836 NPI number — MARGO J. WILLIAMS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487833836 NPI number — MARGO J. WILLIAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARGO J. WILLIAMS
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:
6
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:
1487833836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 112056
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARROLLTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75011-2056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-371-2686
Provider Business Mailing Address Fax Number:
972-242-4253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2680 DENTON TAP RD STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75067-8211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-371-2686
Provider Business Practice Location Address Fax Number:
972-242-4253
Provider Enumeration Date:
11/01/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
MARGO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
469-371-2686

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  158 , 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)