Provider Demographics
NPI:1043452832
Name:WILLIAMS, WENDY ANN (PT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:ANN
Other - Last Name:GALT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6008 FIELDCREST LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3517
Mailing Address - Country:US
Mailing Address - Phone:214-606-3132
Mailing Address - Fax:
Practice Address - Street 1:6008 FIELDCREST LN
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3517
Practice Address - Country:US
Practice Address - Phone:214-606-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1124899171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor