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NPI Code Detail

MEDICARE: TERRIE TUNSTALL WILLIAMS PA

MEDICARE: TERRIE TUNSTALL 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 AssistantPA03731TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA03731OTHERTXLICENSE

General Provider Information

NPI Number : 1962521914
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRIE TUNSTALL WILLIAMS PA
Provider Business Mailing Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 281-486-7900
Fax Number : 281-286-8110
Provider Business Practice Location Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 281-486-7900
Fax Number : 281-286-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/07/2023

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Directions to “ TERRIE TUNSTALL WILLIAMS PA” Practice Location

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