Healthcare Provider Details

I. General information

NPI: 1750664207
Provider Name (Legal Business Name): MS. VERONICA LYNN WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10111 RICHMOND AVE SUITE 400
HOUSTON TX
77042-4215
US

IV. Provider business mailing address

10111 RICHMOND AVE SUITE 400
HOUSTON TX
77042-4215
US

V. Phone/Fax

Practice location:
  • Phone: 713-541-1177
  • Fax:
Mailing address:
  • Phone: 713-541-1177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number182742
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: