# ELISSA KIMBERLY WILLIAMS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821761396
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA14827 | TX | Yes |
| 363AS0400X | Surgical Physician Assistant | PA14827 | TX | — |

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 03/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1X5208 | MEDICARE | TX |
| 01 | — | 8QT182 | BCBS | TX |