MEDICARE: CARLA JENICE WILLIAMS AU.D.

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	231H00000X	Audiologist	AY2245	FL
2	332S00000X	Hearing Aid Equipment	81809	TX
3	231H00000X	Audiologist	81809	TX
4	231H00000X	Audiologist	A4067	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1194188904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA JENICE WILLIAMS AU.D.

Provider Business Mailing Address
First Line	:	400 S PADRE ISLAND DR STE 205
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-4121
Country	:	US
Telephone Number	:	361-288-7831
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 S HENDERSON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-1017
Country	:	US
Telephone Number	:	817-719-2929
Fax Number	:

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

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	05/25/2026

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