Provider Demographics
NPI:1114924867
Name:BURROWS, WILLIAMS BRADLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAMS
Middle Name:BRADLEY
Last Name:BURROWS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2338
Mailing Address - Country:US
Mailing Address - Phone:903-572-1951
Mailing Address - Fax:903-572-2590
Practice Address - Street 1:2320 HARTS BLUFF RD
Practice Address - Street 2:SUITE A
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-7453
Practice Address - Country:US
Practice Address - Phone:903-572-1951
Practice Address - Fax:903-572-2590
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00210906OtherMEDICARE RAILROAD
TX127609908Medicaid
TXG18490Medicare UPIN