Provider Demographics
NPI:1699218495
Name:WILLIAMS, MARIA ROACH (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ROACH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 S EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-5903
Mailing Address - Country:US
Mailing Address - Phone:956-406-6285
Mailing Address - Fax:956-406-6300
Practice Address - Street 1:509 S EXPRESSWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5903
Practice Address - Country:US
Practice Address - Phone:956-406-6285
Practice Address - Fax:956-406-6300
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX823978OtherMEDICARE
TX16246018Medicaid
TX392995201Medicaid