Individual
LISA RENEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6202 HARRY HINES BLVD, DALLAS, TX 75235-5303
(214) 645-4673
(214) 645-2661
Mailing address
11586 GATESVILLE DR, FRISCO, TX 75035-9144
(214) 457-4911
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
1099132
TX
363L00000X
Nurse Practitioner
Primary
1099132
TX
Other
Enumeration date
06/05/2023
Last updated
07/16/2024
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