Healthcare Provider Details

I. General information

NPI: 1922870963
Provider Name (Legal Business Name): BYRISHIA L WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 8TH ST
GALENA PARK TX
77547-2614
US

IV. Provider business mailing address

2504 8TH ST
GALENA PARK TX
77547-2614
US

V. Phone/Fax

Practice location:
  • Phone: 713-885-8191
  • Fax:
Mailing address:
  • Phone: 713-885-8191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1139908
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: