Provider Demographics
NPI:1043536253
Name:WILLIAMS, BETTY (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MAIN ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:SEALY
Mailing Address - State:TX
Mailing Address - Zip Code:77474-2391
Mailing Address - Country:US
Mailing Address - Phone:979-627-7771
Mailing Address - Fax:979-627-7769
Practice Address - Street 1:330 MAIN ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-2391
Practice Address - Country:US
Practice Address - Phone:979-627-7771
Practice Address - Fax:979-627-7769
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80371237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist