Williams, Elwood Fray

Williams, Elwood Fray is an individual health care provider with primary practice located at 8803 S 101St East Ave Ste 100 , Tulsa OK 74133-7546. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Williams, Elwood Fray can be contacted via phone (918) 579-2791.

Contact Information

Primary practice address
8803 S 101St East Ave Ste 100 Tulsa OK 74133-7546
Phone: (918) 579-2791
Fax: (918) 579-2799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 32763 Oklahoma

Profile Details

NPI number 1003175258
LBN Legal business name Williams, Elwood Fray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated Jun 6th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003175258 NPPES
Oklahoma MEDICAID 200712470A

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