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EAST TEXAS ORTHOPAEDIC CLINIC
NPI 1295091486
Orthopaedic Surgery - Sports Medicine in Longview, TX

Active since April 02, 2012
804 MEDICAL CIRCLE, SUITE H, LONGVIEW, TX 75605(903) 236-3385(903) 236-4766 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Texas Orthopaedic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS ORTHOPAEDIC CLINIC (NPI 1295091486) is a healthcare organization registered as a sports medicine in Longview, Texas and active in the NPI registry since April 2012. The organization lists Karen R Williams, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1295091486
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameCHARLES R WILLIAMS MD PA
Location Address804 MEDICAL CIRCLE, SUITE HLongview, TX 75605
Mailing Address804 Medical Circle Dr. Suite HLongview, TX 75605 · (903) 236-3385
Phone(903) 236-3385
Fax(903) 236-4766
Organization SubpartNo
Authorized OfficialKaren R WilliamsBusiness Manager · (903) 236-3385
Enumeration DateApril 2, 2012
Last NPPES UpdateMay 1, 2012
✔ NPI 1295091486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
804 MEDICAL CIRCLE, Longview, TX 75605
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Other Names 1

Doing Business AsEast Texas Orthopaedic Clinic

Other Identifiers 2

Medicaid089595501TX
Medicare UPIND69270TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEIDRA LYNN BAKER NP
Nurse Practitioner (Obstetrics & Gynecology)
804 MEDICAL CIRCLE, SUITE G
LONGVIEW, TX 75605
Gregg County (903) 234-8030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles R Williams MD PA's NPI number?

The NPI number for Charles R Williams MD PA is 1295091486. It was assigned to this organization in the NPPES registry on April 2, 2012. The provider is doing business as East Texas Orthopaedic Clinic.

Where is Charles R Williams MD PA located?

Charles R Williams MD PA is located at 804 Medical Circle Suite H, Longview, TX 75605. The listed phone number is (903) 236-3385.

What is Charles R Williams MD PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Charles R Williams MD PA was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.