Randal A Williams, MD | |
220 W Vinita Ave, Sulphur, OK 73086-3805 | |
(580) 622-5451 | |
(580) 622-5480 |
Full Name | Randal A Williams |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 220 W Vinita Ave, Sulphur, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124068366 | NPI | - | NPPES |
080158623 | Other | OK | RAILROAD MEDICARE |
175735100 | Other | OK | US DEPT OF LABOR |
100137300B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20799 (Oklahoma) | Primary |
Entity Name | First Med Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447899778 PECOS PAC ID: 5597181461 Enrollment ID: O20200824000020 |
Mailing Address | Practice Location Address |
---|---|
Randal A Williams, MD 220 W Vinita Ave, Sulphur, OK 73086-3805 Ph: (580) 622-5451 | Randal A Williams, MD 220 W Vinita Ave, Sulphur, OK 73086-3805 Ph: (580) 622-5451 |
Teresa J Lynn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2011 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-4482 Fax: 580-622-5509 | |
Ryan William Oden, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2007 W Broadway Ave, Sulphur, OK 73086 Phone: 580-622-3511 Fax: 580-622-3513 |