Provider Demographics
NPI:1902555444
Name:WILLIAMS, BAILEY (PT)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13875 BEE CAVE PKWY
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6757
Mailing Address - Country:US
Mailing Address - Phone:512-609-0771
Mailing Address - Fax:888-854-2849
Practice Address - Street 1:13875 BEE CAVE PKWY
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6757
Practice Address - Country:US
Practice Address - Phone:512-609-0771
Practice Address - Fax:888-854-2849
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1902555444225100000X
TX13583322081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist