Healthcare Provider Details

I. General information

NPI: 1861077851
Provider Name (Legal Business Name): KATHRYN WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 W NEW HOPE DR STE 703
CEDAR PARK TX
78613-6786
US

IV. Provider business mailing address

921 W NEW HOPE DR STE 703
CEDAR PARK TX
78613-6786
US

V. Phone/Fax

Practice location:
  • Phone: 432-878-4660
  • Fax: 866-493-3313
Mailing address:
  • Phone: 432-878-4660
  • Fax: 866-493-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010401
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: