Healthcare Provider Details

I. General information

NPI: 1831071828
Provider Name (Legal Business Name): ASHLEY HEATH WILLIAMS ATP QRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11933 STARCREST DR
SAN ANTONIO TX
78247-4117
US

IV. Provider business mailing address

27410 FALLS CV
BOERNE TX
78015-5159
US

V. Phone/Fax

Practice location:
  • Phone: 210-383-3988
  • Fax: 346-767-6022
Mailing address:
  • Phone: 210-978-3023
  • Fax: 346-767-6022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License Number99523
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number99523
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: