MEDICARE: A. MICHELLE WILLIAMS D.C.

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	111N00000X	Chiropractor	12042	TX

General Provider Information

NPI Number	:	1598017931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	A. MICHELLE WILLIAMS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 8622
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77249-8622
Country	:	US
Telephone Number	:	713-232-0651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 NORTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1038
Country	:	US
Telephone Number	:	713-232-0651
Fax Number	:

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

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

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