Williams, Mark Johnston

Williams, Mark Johnston is an individual health care provider with primary practice located at 2901 N. 4Th St. , Longview TX 75605-5128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Williams, Mark Johnston can be contacted via phone (903) 247-2050.

Contact Information

Primary practice address
2901 N. 4Th St. Longview TX 75605-5128
Phone: (903) 247-2050
Fax: (903) 934-8280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H3845 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X H3845 Texas

Profile Details

NPI number 1174590947
LBN Legal business name Williams, Mark Johnston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 31st, 2023 - about 3 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 1174590947 NPPES
Texas MEDICAID 138869601

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