Individual
HERMINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
1004 S ROCK ST, GEORGETOWN, TX 78626-5837
(512) 374-1876
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
576833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030975-02
—
TX
01
—
84446U
BLUE SHIELD
TX
Enumeration date
04/07/2006
Last updated
08/31/2011
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