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Individual

MARY L WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP-C

Contact information

Practice address
1480 KATY FLEWELLEN RD, KATY, TX 77494-6631
(713) 416-8409
(281) 392-9256
Mailing address
PO BOX 272, BELLAIRE, TX 77402-0272
(713) 416-8409
(281) 392-9256

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
556795
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178208803
TX
01
8Y8174
BCBS
TX
Enumeration date
12/13/2006
Last updated
10/26/2012
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