Provider Demographics
NPI:1215411327
Name:WILLIAMS MEDICAL SERVICES
Entity type:Organization
Organization Name:WILLIAMS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-368-3760
Mailing Address - Street 1:13310 GILLETTE ST APT 16105
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4975
Mailing Address - Country:US
Mailing Address - Phone:913-368-3670
Mailing Address - Fax:314-228-0270
Practice Address - Street 1:13310 GILLETTE ST APT 16105
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-4975
Practice Address - Country:US
Practice Address - Phone:913-368-3670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAMS MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-25
Last Update Date:2023-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty