Individual
ELISSA KIMBERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33003 EGYPT LN, THE WOODLANDS, TX 77354-2480
(713) 442-1800
(346) 674-1507
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14827
TX
363AS0400X
Surgical Physician Assistant
PA14827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X5208
MEDICARE
TX
01
—
8QT182
BCBS
TX
Enumeration date
07/29/2021
Last updated
03/14/2025
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