Healthcare Provider Details

I. General information

NPI: 1114574720
Provider Name (Legal Business Name): MONIQUE NICOLE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 08/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5404 TIMBER GREEN DR
ARLINGTON TX
76016-3368
US

IV. Provider business mailing address

5404 TIMBER GREEN DR
ARLINGTON TX
76016-3368
US

V. Phone/Fax

Practice location:
  • Phone: 682-970-9824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: