Jerry K Williams in Las Vegas - Neurology With Special Qualifications In Child Neurology

Jerry K Williams - NPI 1710086749

Jerry K Williams is a Neurology With Special Qualifications In Child Neurology in Las Vegas, New Mexico. Jerry K Williams practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Jerry K Williams is 1710086749. The last update date is 2007-07-09.

Jerry K Williams's current location address is Po Box 3861, Las Vegas, New Mexico. You can contact this provider via phone number 5054261200 and fax number 5054261202. The mailing address for Jerry K Williams is Po Box 3861, Las Vegas, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry K Williams
Address Po Box 3861, Las Vegas, New Mexico
Phone Number 5054261200
Fax Number 5054261202
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710086749
Provider Enumeration Date 2006-09-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address Po Box 3861
City Las Vegas
State New Mexico (NM)
Post Code 877016861
Phone Number 5054261200
Fax Number 5054261202

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 94-167
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201311184 NM TAX ID
23432 NM --
201047864 NM PHP & SALUD
00NM009T07 NM BCBS
C100521093 NM UNITED AMERICAN
NM9999 NM MUTUAL OF OMAHA

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FAQs about Jerry K Williams

What is the unique 10-digit identification code issued to Jerry K Williams by the Centers for Medicare & Medicaid Services?

The Jerry K Williams has been assigned the NPI (National Provider Identifier) 1710086749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jerry K Williams's facilities are situated?

The facilities of Jerry K Williams are physically located at the following address: Po Box 3861, Las Vegas, NM, 877016861.

What is the area of specialization for Jerry K Williams, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jerry K Williams is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0402X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710086749 to Jerry K Williams?

The Jerry K Williams received its 1710086749 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.

As of what date were the Jerry K Williams's details last updated?

The information pertaining to the Jerry K Williams, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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