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NPI Code Detail

MEDICARE: MRS. MARGERINE WHITE WILLIAMS

MEDICARE: MRS. MARGERINE WHITE WILLIAMS
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
1171W00000XContractor030420TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144244229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGERINE WHITE WILLIAMS
Provider Business Mailing Address
First Line : 3138 COUNTRY CLUB BLVD
Second Line :
City : STAFFORD
State : TX
Zip : 77477-4615
Country : US
Telephone Number : 713-440-0913
Fax Number : 713-440-0919
Provider Business Practice Location Address
First Line : 3321 DIXIE DR.
Second Line :
City : HOUSTON
State : TX
Zip : 77021
Country : US
Telephone Number : 713-440-0913
Fax Number : 713-440-0913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/09/2007

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Directions to “ MRS. MARGERINE WHITE WILLIAMS ” Practice Location

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