Provider Demographics
NPI:1598987927
Name:JULIE D WILLIAMS MD PC
Entity Type:Organization
Organization Name:JULIE D WILLIAMS MD PC
Other - Org Name:WILLIAMS MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-917-9433
Mailing Address - Street 1:3816 N MERIDIAN AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2852
Mailing Address - Country:US
Mailing Address - Phone:405-917-9433
Mailing Address - Fax:405-917-9435
Practice Address - Street 1:3816 N MERIDIAN AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2852
Practice Address - Country:US
Practice Address - Phone:405-917-9433
Practice Address - Fax:405-917-9435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23103207R00000X
OK202622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty