Provider Demographics
NPI:1467810515
Name:WILLIAMS, SPRING (CRNA)
Entity Type:Individual
Prefix:
First Name:SPRING
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SPRING
Other - Middle Name:AJA
Other - Last Name:SANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19251 PRESTON RD
Mailing Address - Street 2:APT 608
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-8552
Mailing Address - Country:US
Mailing Address - Phone:317-435-0776
Mailing Address - Fax:
Practice Address - Street 1:3308 PRESTON RD
Practice Address - Street 2:SUITE 350-283
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7453
Practice Address - Country:US
Practice Address - Phone:317-435-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130230367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered