MEDICARE: GENIELYN WILLIAMS LEE BSN RN MAN CMSRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	941368	TX
2	163WC1600X	Continuing Education/Staff Development Registered Nurse	941368	TX
3	163WD0400X	Diabetes Educator Registered Nurse	941368	TX
4	163W00000X	Registered Nurse	941368	TX
5	163WG0000X	General Practice Registered Nurse	941368	TX
6	163WH0200X	Home Health Registered Nurse	941368	TX
7	163WI0500X	Infusion Therapy Registered Nurse	941368	TX
8	163WM0705X	Medical-Surgical Registered Nurse	941368	TX
9	163WS0121X	Plastic Surgery Registered Nurse	941368	TX
10	163WW0000X	Wound Care Registered Nurse	941368	TX
11	261QI0500X	Infusion Therapy Clinic/Center	941368	TX
12	251E00000X	Home Health Agency	941368	TX

General Provider Information

NPI Number	:	1023809480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENIELYN WILLIAMS LEE BSN RN MAN CMSRN

Provider Business Mailing Address
First Line	:	19901 SOUTHWEST FWY STE 310
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6538
Country	:	US
Telephone Number	:	713-538-1989
Fax Number	:	713-538-1989

Provider Business Practice Location Address
First Line	:	19901 SOUTHWEST FWY STE 310
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6538
Country	:	US
Telephone Number	:	713-538-1989
Fax Number	:	713-538-1989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	08/05/2025

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