Provider Demographics
NPI:1992979876
Name:TERRY D WILLIAMS DBA AHEALTHYU
Entity type:Organization
Organization Name:TERRY D WILLIAMS DBA AHEALTHYU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:DON
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-874-5866
Mailing Address - Street 1:3500 W 7TH AVE
Mailing Address - Street 2:SUITE 37
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-4896
Mailing Address - Country:US
Mailing Address - Phone:903-874-5866
Mailing Address - Fax:903-874-5083
Practice Address - Street 1:3500 W 7TH AVE
Practice Address - Street 2:SUITE 37
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-4896
Practice Address - Country:US
Practice Address - Phone:903-874-5866
Practice Address - Fax:903-874-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV08442Medicare UPIN
TX00W183Medicare PIN