Provider Demographics
NPI:1104196492
Name:WILLIAMS, GAIL PATRICIA (PHD, RN, PMHCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:PATRICIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD, RN, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MC7977
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-450-9000
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:RM 1.422
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-467-9355
Practice Address - Fax:210-567-5903
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241022-1163W00000X
TX570309364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse