MEDICARE: DR. RACHELE M WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	M2871	TX

General Provider Information

NPI Number	:	1457322752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHELE M WILLIAMS MD

Provider Business Mailing Address
First Line	:	1302 WAUGH DR
Second Line	:	SUITE 957
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	713-412-8454
Fax Number	:	713-527-8487

Provider Business Practice Location Address
First Line	:	1302 WAUGH DR
Second Line	:	SUITE 957
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	713-412-8454
Fax Number	:	281-489-1232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/30/2010

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