Provider Demographics
NPI:1003081746
Name:C.T. WILLIAMS M.D .P.A,
Entity Type:Organization
Organization Name:C.T. WILLIAMS M.D .P.A,
Other - Org Name:C.T.WILLIAMS M. D. , P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:F
Authorized Official - Last Name:PULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-654-0808
Mailing Address - Street 1:2424 HAMILTON ST
Mailing Address - Street 2:300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004
Mailing Address - Country:US
Mailing Address - Phone:713-654-0808
Mailing Address - Fax:713-654-0808
Practice Address - Street 1:2424 HAMILTON ST
Practice Address - Street 2:300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-1200
Practice Address - Country:US
Practice Address - Phone:713-654-0808
Practice Address - Fax:713-654-0808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C.T. WILLIAMS M.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8419174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty