Provider Demographics
NPI:1508098575
Name:WILLIAMS, BARNEY DRAKE
Entity Type:Individual
Prefix:DR
First Name:BARNEY
Middle Name:DRAKE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 RUTLAND ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4037
Mailing Address - Country:US
Mailing Address - Phone:713-426-8300
Mailing Address - Fax:713-426-8310
Practice Address - Street 1:1615 RUTLAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4037
Practice Address - Country:US
Practice Address - Phone:713-426-8300
Practice Address - Fax:713-426-8310
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist