Provider Demographics
NPI:1417264409
Name:WILLIAMS STIGGERS, SHARAYAH MYLARGO
Entity Type:Individual
Prefix:MRS
First Name:SHARAYAH
Middle Name:MYLARGO
Last Name:WILLIAMS STIGGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8165 LATIGO PLZ
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-2553
Mailing Address - Country:US
Mailing Address - Phone:210-214-0085
Mailing Address - Fax:
Practice Address - Street 1:8165 LATIGO PLZ
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-2553
Practice Address - Country:US
Practice Address - Phone:210-214-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor