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Deactivated NPI 1730335076 Deactivated / Inactive NPI Male Practitioner

Dr. David R Williams , PHD CSCS

Specialist • Mansfield, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2008
NPI Deactivation Date March 28, 2016
Total Practice Duration ~8 Years of Practice (2008 – 2016)

Professional Overview & Biography Verified Profile Summary

Dr. David Williams, PHD CSCS was a registered Specialist practicing in Mansfield, TX. Throughout an active medical career spanning 8 years, Dr. Williams provided care at the practice location at 1020 CHASEMORE CT until profile deactivation on 2016-03-28.

Practice Location & Contact Primary Location

Practice Address

1020 Chasemore Ct

Mansfield, TX 760632654

Telephone 8176486999

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Mansfield, TX (2033 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 901420

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated July 22, 2019

Record deactivated on July 22, 2019

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NPI Profile Reactivated July 20, 2016

Record officially reactivated for active practice on July 20, 2016

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Updated Practice Location July 20, 2016

Registered at 1020 CHASEMORE CT, MANSFIELD, TX 760632654 (Tel: 8176486999)

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Updated Business Mailing Address July 20, 2016

Registered at PO BOX 1372, CEDAR HILL, TX 75106 (Tel: 8176486999)

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Provider Name / Credentials Updated July 20, 2016

Recorded as DAVID WILLIAMS, PHD CSCS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2016

Specialist (License #901420 in TX)

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NPI Profile Deactivated March 28, 2016

Record deactivated on March 28, 2016

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Initial NPI Registration & Enumeration August 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730335076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2008
Last Update: July 20, 2016
Deactivation Date: March 28, 2016

Mailing Address

Po Box 1372

Cedar Hill, TX 75106

Phone: 8176486999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.