Healthcare Provider Details

I. General information

NPI: 1699826214
Provider Name (Legal Business Name): STEPHEN D. WILLIAMS M.A., CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4775 HAMILTON WOLFE RD STE 1
SAN ANTONIO TX
78229-3456
US

IV. Provider business mailing address

10740 N GESSNER RD STE 310
HOUSTON TX
77064-1240
US

V. Phone/Fax

Practice location:
  • Phone: 210-616-0283
  • Fax: 210-616-0071
Mailing address:
  • Phone: 281-897-0416
  • Fax: 800-346-9037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51272
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: