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NPI Code Detail

MEDICARE: MELODY WILLIAMS PA

MEDICARE: MELODY WILLIAMS PA
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
1363AM0700XMedical Physician AssistantTX01734TX
2363AM0700XMedical Physician AssistantPA01734TX
3363A00000XPhysician AssistantPA01734TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18Y8232OTHERTXBCBSTX
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31205892221OTHERTXTRICARE SOUTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205892221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY WILLIAMS PA
Provider Business Mailing Address
First Line : 211 HIGHLAND CROSS DR
Second Line : STE 275
City : HOUSTON
State : TX
Zip : 77073-1733
Country : US
Telephone Number : 281-784-1111
Fax Number :
Provider Business Practice Location Address
First Line : 211 HIGHLAND CROSS DR
Second Line : STE 275
City : HOUSTON
State : TX
Zip : 77073-1733
Country : US
Telephone Number : 281-784-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 02/26/2013

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1609810399 — NIOTI KARIM M.D.
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Directions to “ MELODY WILLIAMS PA” Practice Location

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