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Individual

LARISSA ANN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14406 BARON CREEK LN, HOUSTON, TX 77044-4478
(713) 899-3304
Mailing address
14406 BARON CREEK LN, HOUSTON, TX 77044-4478

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141120
TX
363LA2200X
Adult Health Nurse Practitioner
AP141120
TX
363LC1500X
Community Health Nurse Practitioner
AP141120
TX
363LP2300X
Primary Care Nurse Practitioner
AP141120
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
04/02/2019
Last updated
04/02/2019
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