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CHARLES R WILLIAMS MD PA NPI 1295091486


NPI Information

NPI: 1295091486
Provider Name: CHARLES R WILLIAMS MD PA

Doing Business As: EAST TEXAS ORTHOPAEDIC CLINIC

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
804 MEDICAL CIRCLE
SUITE H
LONGVIEW, TX
ZIP 75605
Phone: (903) 236-3385
Get Directions

CHARLES R WILLIAMS MD PA is a sports medicine orthopaedic surgery in Longview, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. CHARLES R WILLIAMS MD PA NPI is 1295091486. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Texas Orthopaedic Clinic.

The provider's business location address is:

804 MEDICAL CIRCLE
SUITE H
LONGVIEW, TX
ZIP 75605
Phone: (903) 236-3385
Fax: (903) 236-4766

The provider's authorized official is Karen R Williams .
The authorized official title is Business Manager and has the following contact phone number (903) 236-3385.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 5/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0005XOrthopaedic SurgerySports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1089595501MEDICAIDTEXAS
2D69270MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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