MEDICARE: MISS AIYANA WILLIAMS

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1699245191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AIYANA WILLIAMS

Provider Business Mailing Address
First Line	:	500 E BORDER ST STE 250
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-7445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E BORDER ST STE 250
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-7445
Country	:	US
Telephone Number	:	703-209-7022
Fax Number	:

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

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	01/09/2026

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Directions to “ MISS AIYANA WILLIAMS ” Practice Location

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