1396239497 NPI number — DR. ALLEN RAY WILLIAMS II DC

Table of content: DR. ALLEN RAY WILLIAMS II DC (NPI 1396239497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396239497 NPI number — DR. ALLEN RAY WILLIAMS II DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
ALLEN
Provider Middle Name:
RAY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
DC
Provider Gender Code:
M

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:
1396239497
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6000 FARM TO MARKET 3009
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-375-3322
Provider Business Mailing Address Fax Number:
210-375-3325

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6000 FARM TO MARKET 3009
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-375-3322
Provider Business Practice Location Address Fax Number:
210-375-3325
Provider Enumeration Date:
06/21/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  13413 , 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)