Doctor Name: | CHESTER WILLIAMS |
NPI Number: | 1053593483 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 1850 |
Business Practice Address: | 501 Midwestern Pkwy E Wichita Falls, TX - 763022302 |
Business Phone Number: | 9407663551 |
Business Fax Number: | |
Mailing Address: | 501 Midwestern Pkwy E, WICHITA FALLS |
State: | TX |
Postal Code: | 763022302 |
Phone Number: | 9407663551 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1850 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |