Provider Demographics
NPI:1891383907
Name:WILLIAMS, SAMARRIA (BSHA, MPA)
Entity Type:Individual
Prefix:
First Name:SAMARRIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BSHA, MPA
Other - Prefix:
Other - First Name:SAMARRIA
Other - Middle Name:YVETTE
Other - Last Name:WILLIAMS-LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSHA, MOA
Mailing Address - Street 1:8113 WAY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028-1445
Mailing Address - Country:US
Mailing Address - Phone:832-884-1359
Mailing Address - Fax:713-635-8881
Practice Address - Street 1:8113 WAY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-1445
Practice Address - Country:US
Practice Address - Phone:832-884-1359
Practice Address - Fax:713-635-8881
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty