Provider Demographics
NPI:1205107075
Name:WILLIAMS, REGINA LYN (RT(R)(M)(CT)(ARRT))
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:LYN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RT(R)(M)(CT)(ARRT)
Other - Prefix:
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Mailing Address - Street 1:3820 POINT PARK WAY
Mailing Address - Street 2:400
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-5025
Mailing Address - Country:US
Mailing Address - Phone:409-767-8221
Mailing Address - Fax:409-785-4200
Practice Address - Street 1:3820 POINTE PKWY
Practice Address - Street 2:400
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2000
Practice Address - Country:US
Practice Address - Phone:409-767-8221
Practice Address - Fax:409-785-4200
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR.T.(R)(M)(CT)(ARRT)2471C3401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography