SearchTexas163W00000X

Kofi Williams

NPI 1760971428 · on the registry since 2018 · sole proprietor

Practice

Address
11621 Ferguson Rd Apt 2426
Dallas, TX 75228
Phone
(850) 855-1361

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas