{"npi":"1518190859","type":"NPI-2","status":"active","name":{"display":"E P Ted Williams Mdpa","other":[],"organization_name":"E P TED WILLIAMS MDPA","authorised_official":"Edmund Williams"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"TX","license":"G3912"},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"TX","license":"G3912"}]},"addresses":[{"purpose":"LOCATION","street_1":"7122 STONEWALL HL","city":"SAN ANTONIO","state":"TX","postal_code":"782561926","country_code":"US","phone":"2104049696","fax":"2104049466"},{"purpose":"MAILING","street_1":"7122 STONEWALL HL","city":"SAN ANTONIO","state":"TX","postal_code":"782561926","country_code":"US","phone":"2104049696","fax":"2104049466"}],"license":{"state":"TX","number":"G3912"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"138419010","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250110000263","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"2567990179"}]},"enumeration_date":"2009-09-03","last_updated":"2025-05-14","_meta":{"source":"NPPES","snapshot_date":"2025-05-14","doc_url":"https://findmynpi.com/api"}}