Provider Demographics
NPI:1295767465
Name:WILLIAMS, PATRICK ALAN (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:ALAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:876 LOOP 337 STE 302
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3553
Mailing Address - Country:US
Mailing Address - Phone:830-625-8088
Mailing Address - Fax:830-629-9215
Practice Address - Street 1:876 LOOP 337
Practice Address - Street 2:SUITE 302
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-625-8088
Practice Address - Fax:830-629-9215
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL6217208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179042001Medicaid
TX179042001Medicaid
H8667Medicare UPIN