Individual
MRS. PAULA JANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4101
(817) 433-1380
(817) 433-1399
Mailing address
7008 BROOKVALE RD, FORT WORTH, TX 76132-3532
(817) 292-3510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529
LD
TX
01
—
571526
RD
—
Enumeration date
01/30/2007
Last updated
07/08/2007
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