MEDICARE: LATONYA 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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1215885835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATONYA WILLIAMS

Provider Business Mailing Address
First Line	:	3100 MONTICELLO AVE STE 210
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-3753
Country	:	US
Telephone Number	:	918-895-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 MONTICELLO AVE STE 210
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-3753
Country	:	US
Telephone Number	:	918-895-7680
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ LATONYA WILLIAMS ” Practice Location

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