Healthcare Provider Details

I. General information

NPI: 1780548610
Provider Name (Legal Business Name): RJ WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 S POST OAK RD
HOUSTON TX
77045-2020
US

IV. Provider business mailing address

12401 S POST OAK RD
HOUSTON TX
77045-2020
US

V. Phone/Fax

Practice location:
  • Phone: 713-551-8743
  • Fax:
Mailing address:
  • Phone: 713-551-8743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0001X
TaxonomyClinical & Laboratory Immunology (Internal Medicine) Physician
License Number45D2330202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: