Williams, Kenneth Egbert
Williams, Kenneth Egbert is an sole proprietor health care provider with primary practice located at 13601 Preston Rd Ste 1000W, Dallas TX 75240-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Williams, Kenneth Egbert can be contacted via phone (972) 715-5007.Contact Information
Primary practice address
13601 Preston Rd Ste 1000W
Dallas TX 75240-4911
Phone: (972) 715-5007
Fax: (972) 715-5682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | J8420 | Texas |
Profile Details
| NPI number | 1891766044 |
|---|---|
| LBN Legal business name | Williams, Kenneth Egbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Aug 19th, 2011 - about 15 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 | 1891766044 | NPPES |
| Texas | MEDICAID | 135314614 | |
| Texas | MEDICAID | 135314613 | |
| Texas | Other | 8CD667 | |
| Texas | MEDICAID | 135314604 | |
| Texas | Other | 8CN978 | |
| Texas | Other | BCBS | |
| Texas | MEDICAID | 135314615 |
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