Provider Demographics
NPI:1952333098
Name:WILLIAMS, DANIEL BRYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRYAN
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:PO BOX 638336
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8336
Mailing Address - Country:US
Mailing Address - Phone:281-242-3434
Mailing Address - Fax:281-242-3436
Practice Address - Street 1:16651 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-242-3434
Practice Address - Fax:281-242-3436
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-081113207V00000X, 207VE0102X, 207VG0400X, 207VX0000X
TXN4204207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2315159Medicaid
KY64050719Medicaid
OHWI4073632Medicare PIN
OH2315159Medicaid