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Provider Information for 1356434120



THOMAS L WILLIAMS III DDS

Gender: MALE

Individual NPI: 1356434120

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1356434120
Enumeration Date 2006-10-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6001 SPUR 327 SUITE A
LUBBOCK, TX 79424
United States

Phone: 806-794-0091 | Fax: 806-794-0094
View Map External Link
Primary Practice Address 6001 SPUR 327 SUITE A
LUBBOCK, TX 79424
United States

Phone: 806-794-0091 | Fax: 806-794-0094
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 13158