MEDICARE: DR. KIMBERLY DENISE WILLIAMS-WATSON M.D.

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	208000000X	Pediatrics Physician	K2137	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1366623845	OTHER	NPI

General Provider Information

NPI Number	:	1891760575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY DENISE WILLIAMS-WATSON M.D.

Provider Business Mailing Address
First Line	:	11303 BENTGROVE LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-2855
Country	:	US
Telephone Number	:	832-220-9262
Fax Number	:

Provider Business Practice Location Address
First Line	:	15322 COPPER GROVE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2293
Country	:	US
Telephone Number	:	281-859-7596
Fax Number	:	832-674-4253

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	12/04/2019

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