Healthcare Provider Details

I. General information

NPI: 1962881094
Provider Name (Legal Business Name): STEPHEN BROWNING WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2015
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 BELLAIRE BLVD STE 206
HOUSTON TX
77025-1056
US

IV. Provider business mailing address

4130 BELLAIRE BLVD STE 206
HOUSTON TX
77025-1056
US

V. Phone/Fax

Practice location:
  • Phone: 281-648-3000
  • Fax:
Mailing address:
  • Phone: 281-648-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT8689
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberT8689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: