Provider Demographics
NPI:1659626869
Name:WILLIAMS, ADAM WAYNE (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:WAYNE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 LONG PRAIRIE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2775
Mailing Address - Country:US
Mailing Address - Phone:972-472-0002
Mailing Address - Fax:
Practice Address - Street 1:3305 LONG PRAIRIE RD STE 120
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2775
Practice Address - Country:US
Practice Address - Phone:972-472-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13793111N00000X
IA007553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor