| Williams Medical Group Practice, Llc | |
|
1303 N Washington St Weatherford OK 73096-2443 | |
| (580) 772-2845 | |
| Not Available |
| Full Name | Williams Medical Group Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1303 N Washington St, Weatherford, Oklahoma |
| Authorized Official Name and Position | Grant Asay (CEO) |
| Authorized Official Contact | 4054451210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Medical Group Practice, Llc 701 Cedar Lake Blvd Ste 120 Oklahoma City OK 73114-7815 Ph: () - | Williams Medical Group Practice, Llc 1303 N Washington St Weatherford OK 73096-2443 Ph: (580) 772-2845 |
| NPI Number | 1093385841 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 3375832157 |
|---|---|
| Medicare Enrollment ID | O20210719002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093385841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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