Provider Demographics
NPI:1255896262
Name:WILLIAMS, TOMOKO HIRABAYASHI (MSN, RN, FNP-C)
Entity type:Individual
Prefix:
First Name:TOMOKO
Middle Name:HIRABAYASHI
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:
Other - First Name:TOMOKO
Other - Middle Name:HIRABAYASHI
Other - Last Name:SOTOMAYOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN, FNP-C
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:1401 MEDICAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5026
Practice Address - Country:US
Practice Address - Phone:512-260-6050
Practice Address - Fax:512-260-6080
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX394497702Medicaid
TX394497701Medicaid