Provider Demographics
NPI:1548232689
Name:WILLIAMS, JAMES FRANK (PAC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANK
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:15410 BLUFFVIEW ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4022
Mailing Address - Country:US
Mailing Address - Phone:210-491-4233
Mailing Address - Fax:
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-4153
Practice Address - Fax:210-916-2211
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPAO1988363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical