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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629139407 | NPPES |
| Texas | Other | 8Y8174 | BCBS |
| Texas | MEDICAID | 178208803 | BCBS |
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