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NPI Code Detail

MEDICARE: YOLANDA P MITCHELL-WILLIAMS

MEDICARE:   YOLANDA P MITCHELL-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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1710203757
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA P MITCHELL-WILLIAMS
Provider Business Mailing Address
First Line : 8901 SUNGATE DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3200
Country : US
Telephone Number : 713-560-4823
Fax Number : 281-485-7790
Provider Business Practice Location Address
First Line : 8901 SUNGATE DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3200
Country : US
Telephone Number : 713-560-4823
Fax Number : 281-485-7790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2010
Last Update Date : 04/15/2010

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Directions to “ YOLANDA P MITCHELL-WILLIAMS ” Practice Location

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