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MCWILLIAMS FAMILY MEDICINE PLLC NPI 1962955864


NPI Information

NPI: 1962955864
Provider Name: MCWILLIAMS FAMILY MEDICINE PLLC

Doing Business As: STONE CREEK FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2172329

Address:
19782 HIGHWAY 105 W
SUITE 111
MONTGOMERY, TX
ZIP 77356
Phone: (936) 582-0220
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MCWILLIAMS FAMILY MEDICINE PLLC is a family medicine in Montgomery, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MCWILLIAMS FAMILY MEDICINE PLLC NPI is 1962955864. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Stone Creek Family Medicine.

The provider's business location address is:

19782 HIGHWAY 105 W
SUITE 111
MONTGOMERY, TX
ZIP 77356-103
Phone: (936) 582-0220

The provider's authorized official is Jeremy K Mcwilliams .
The authorized official title is Owner/provider and has the following contact phone number (936) 582-0220.

The CLIA number assigned to this NPI record is 45D2172329 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 9/5/2019.


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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

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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