Provider Demographics
NPI:1578239836
Name:WILLIAMS, JANAY
Entity Type:Individual
Prefix:
First Name:JANAY
Middle Name:
Last Name:WILLIAMS
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 1:4110 ALMEDA RD UNIT 8472
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-6724
Mailing Address - Country:US
Mailing Address - Phone:281-877-2313
Mailing Address - Fax:
Practice Address - Street 1:3310 SPARROW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-3147
Practice Address - Country:US
Practice Address - Phone:281-877-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty