| T L Williams Md Llc | |
|
4922 Lasalle Rd Hyattsville MD 20782-3302 | |
| (301) 864-2333 | |
| Not Available |
| Full Name | T L Williams Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Tahani Williams (MD) |
| Authorized Official Contact | 3013329986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T L Williams Md Llc 703 Glen Lake Dr Bowie MD 20716-3564 Ph: (301) 332-9986 | T L Williams Md Llc 4922 Lasalle Rd Hyattsville MD 20782-3302 Ph: (301) 864-2333 |
| NPI Number | 1306513122 |
|---|---|
| Provider Enumeration Date | 08/28/2021 |
| Last Update Date | 02/20/2025 |
| Medicare PECOS PAC ID | 0143628917 |
|---|---|
| Medicare Enrollment ID | O20211007003695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306513122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Tahani L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144492471 PECOS PAC ID: 5193882223 Enrollment ID: I20140527001424 |
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