Provider Demographics
NPI:1134284003
Name:RACHELEMWILLIAMSMDPA
Entity Type:Organization
Organization Name:RACHELEMWILLIAMSMDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RACHELE
Authorized Official - Middle Name:MARTINE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-412-8454
Mailing Address - Street 1:1302 WAUGH DR
Mailing Address - Street 2:SUITE 957
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-3908
Mailing Address - Country:US
Mailing Address - Phone:713-412-8454
Mailing Address - Fax:281-489-1232
Practice Address - Street 1:1302 WAUGH DR
Practice Address - Street 2:SUITE 957
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3908
Practice Address - Country:US
Practice Address - Phone:713-412-8454
Practice Address - Fax:281-489-1232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2871208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN
TXI04412Medicare UPIN
TX=========OtherEIN