Provider Demographics
NPI:1649565318
Name:WILLIAMS, CHYRIL CLYNE (LVN)
Entity Type:Individual
Prefix:
First Name:CHYRIL
Middle Name:CLYNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 ARGOS CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6740
Mailing Address - Country:US
Mailing Address - Phone:832-418-2978
Mailing Address - Fax:713-728-8655
Practice Address - Street 1:3415 ARGOS CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6740
Practice Address - Country:US
Practice Address - Phone:832-418-2978
Practice Address - Fax:713-728-8655
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHOUSINGMedicaid