Provider Demographics
NPI:1124197124
Name:WILLIAMS, ALECIA Y (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALECIA
Middle Name:Y
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 WILSON RD
Mailing Address - Street 2:STE 300 #245
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396
Mailing Address - Country:US
Mailing Address - Phone:713-575-5815
Mailing Address - Fax:888-222-5781
Practice Address - Street 1:4831 WILSON RD
Practice Address - Street 2:STE 300 #245
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396
Practice Address - Country:US
Practice Address - Phone:713-575-5815
Practice Address - Fax:888-222-5781
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0803213E00000X
NY006171213E00000X
TX1915213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03359799Medicaid
TX8L16643Medicare PIN