Provider Demographics
NPI:1407868516
Name:WILLIAMS, TANYA EVETTE (BSN)
Entity Type:Individual
Prefix:MS
First Name:TANYA
Middle Name:EVETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 ESTHER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-6022
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-956-0227
Practice Address - Street 1:1315 ESTHER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-6022
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-956-0227
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX634769163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult