Provider Demographics
NPI:1518922657
Name:WILLIAMS, ALDON BYRON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALDON
Middle Name:BYRON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 N EXPRESSWAY 77/83
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4354
Mailing Address - Country:US
Mailing Address - Phone:956-350-0900
Mailing Address - Fax:956-350-0906
Practice Address - Street 1:5700 N EXPRESSWAY 77/83
Practice Address - Street 2:SUITE 101
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4354
Practice Address - Country:US
Practice Address - Phone:956-350-0900
Practice Address - Fax:956-350-0906
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8418207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050092207OtherINDIV MEDICARE RR#
TX8H0762OtherINDIVIDUAL BCBS #
TX101960100OtherINDIV VALLEY HEALTH PLAN#
TX042904503Medicaid
TXP00454599OtherMEDICARE RAILROAD-PA
TX042904504Medicaid
TX8BC490OtherBLUE CROSS BLUE SHIELD TEXAS
TXJ8418OtherLICENSE #
TXJ8418OtherLICENSE #
TX8H0762OtherINDIVIDUAL BCBS #
TX8BC490OtherBLUE CROSS BLUE SHIELD TEXAS