Williams, Mary L

Williams, Mary L is an individual health care provider with primary practice located at 1480 Katy Flewellen Rd , Katy TX 77494-6631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Williams, Mary L can be contacted via phone (713) 416-8409.

Contact Information

Primary practice address
1480 Katy Flewellen Rd Katy TX 77494-6631
Phone: (713) 416-8409
Fax: (281) 392-9256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 556795 Texas

Profile Details

NPI number 1629139407
LBN Legal business name Williams, Mary L
Credentials GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629139407 NPPES
Texas Other 8Y8174 BCBS
Texas MEDICAID 178208803 BCBS

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