Edmond Williams Jr.
Case Management in Tulsa, OK. Individual provider (NPI-1).
NPI number1164046074
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1164046074
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edmond Williams Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2020
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
6216 S Lewis Ave Ste 103Tulsa, OK 74136-1017
Phone 918-208-0575
Mailing address
5130 N 25th West AveTulsa, OK 74126-6643
Phone 918-402-5435
Other practice locations
7901 Ne 10th St
Oklahoma City, OK 73110-3600
Oklahoma City, OK 73110-3600
Phone 405-731-9012
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