Healthcare Provider Details
I. General information
NPI: 1861696460
Provider Name (Legal Business Name): MARIAN YVETTE WILLIAMS-BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2007
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 TRINITY ST STOP 804
AUSTIN TX
78712-1866
US
IV. Provider business mailing address
7303 KAPOK LN
AUSTIN TX
78759-3735
US
V. Phone/Fax
- Phone: 512-324-7865
- Fax:
- Phone: 832-291-4300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | N0554 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | N0554 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: