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Individual
ELISSA KIMBERLY WILLIAMS
Active
Individual
ELISSA KIMBERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14827
TX
363AS0400X
Surgical Physician Assistant
PA14827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X5208
MEDICARE
TX
01
—
8QT182
BCBS
TX
Enumeration date
07/29/2021
Last updated
03/14/2025
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