Provider Demographics
NPI:1255433611
Name:WILLIAMS, AUSTIN OSCAR SR (MD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:OSCAR
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-0725
Mailing Address - Country:US
Mailing Address - Phone:713-665-5959
Mailing Address - Fax:713-665-5161
Practice Address - Street 1:7015 ALMEDA RD # 5
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2101
Practice Address - Country:US
Practice Address - Phone:713-665-5959
Practice Address - Fax:713-665-5161
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9934207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158702401Medicaid
TX01-0744731OtherTAX ID
TXG48411Medicare UPIN
TX158702401Medicaid