Provider Demographics
NPI:1942416615
Name:WILLIAMS TROTTER & ASSOCIATES
Entity Type:Organization
Organization Name:WILLIAMS TROTTER & ASSOCIATES
Other - Org Name:CLINICAL PATHOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TOMMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-670-6500
Mailing Address - Street 1:1150 N 18TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2948
Mailing Address - Country:US
Mailing Address - Phone:325-670-6500
Mailing Address - Fax:325-676-8046
Practice Address - Street 1:1150 N 18TH ST STE 102
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2948
Practice Address - Country:US
Practice Address - Phone:325-670-6500
Practice Address - Fax:325-676-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D0508312291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110792202Medicaid
TX110792202Medicaid