Williamson, Jack Bryan
Williamson, Jack Bryan is an individual health care provider with primary practice located at 7401 Main St , Houston TX 77030-4509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Williamson, Jack Bryan can be contacted via phone (713) 799-2300.Contact Information
Primary practice address
7401 Main St
Houston TX 77030-4509
Phone: (713) 799-2300
Fax: (713) 791-9395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | H5501 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | H5501 | Texas |
Profile Details
| NPI number | 1437147642 |
|---|---|
| LBN Legal business name | Williamson, Jack Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 30th, 2020 - about 6 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 | 1437147642 | NPPES |
| Texas | MEDICAID | 105227602 |
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