Provider Demographics
NPI:1710203757
Name:MITCHELL-WILLIAMS, YOLANDA P
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:P
Last Name:MITCHELL-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 1:8901 SUNGATE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3200
Mailing Address - Country:US
Mailing Address - Phone:713-560-4823
Mailing Address - Fax:281-485-7790
Practice Address - Street 1:8901 SUNGATE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3200
Practice Address - Country:US
Practice Address - Phone:713-560-4823
Practice Address - Fax:281-485-7790
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker