MEDICARE: ALEXIS WILLIAMS APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP129472	TX

General Provider Information

NPI Number	:	1831561901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS WILLIAMS APRN

Provider Business Mailing Address
First Line	:	2702 NIGHT SONG DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3751
Country	:	US
Telephone Number	:	832-545-7127
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 WESTCOTT ST
Second Line	:	STE 210
City	:	HOUSTON
State	:	TX
Zip	:	77007-7094
Country	:	US
Telephone Number	:	832-545-7127
Fax Number	:

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

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	10/28/2015

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