Williams, Schulundria Schantelle

Williams, Schulundria Schantelle is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Williams, Schulundria Schantelle can be contacted via phone (903) 593-8441.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 593-8441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 642834 Texas

Profile Details

NPI number 1205821055
LBN Legal business name Williams, Schulundria Schantelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 18th, 2017 - about 7 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 1205821055 NPPES
Texas Other 75-1976930-005 TRICARE
Texas Other 366204YSE3 TRICARE
Texas MEDICAID 174283506 TRICARE
Texas Other P01912522 TRICARE

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