Individual
MARISSA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-8862
(254) 724-1111
Mailing address
200 MAROON LN, KYLE, TX 78640-2394
(860) 912-8289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001262813
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140647
TX
Other
Enumeration date
05/17/2018
Last updated
07/10/2026
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