Provider Demographics
NPI:1952742348
Name:WILLIAMS, JAMES REED (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:REED
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 1:3440 POTOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-2282
Mailing Address - Country:US
Mailing Address - Phone:972-333-5566
Mailing Address - Fax:
Practice Address - Street 1:5400 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7204
Practice Address - Country:US
Practice Address - Phone:214-618-3804
Practice Address - Fax:214-618-3830
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine