Mcwilliams, Jeffrey G
Mcwilliams, Jeffrey G is an individual health care provider with primary practice located at 1300 N 6Th St Unit A , Longview TX 75601-5567. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mcwilliams, Jeffrey G can be contacted via phone (903) 232-8928.Contact Information
Primary practice address
1300 N 6Th St Unit A
Longview TX 75601-5567
Phone: (903) 232-8928
Fax: (903) 234-1639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | N7143 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | N7143 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD203850 | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 269656 | Oklahoma |
Profile Details
| NPI number | 1104037639 |
|---|---|
| LBN Legal business name | Mcwilliams, Jeffrey G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jul 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104037639 | NPPES |
| Texas | MEDICAID | 216797510 | |
| Texas | MEDICAID | 09891 |
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