Provider Demographics
NPI:1649076563
Name:WILLIAMS, RONESIA (RDN, LD)
Entity type:Individual
Prefix:
First Name:RONESIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 RICHLAND HILLS DR APT 10131
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3889
Mailing Address - Country:US
Mailing Address - Phone:386-882-6701
Mailing Address - Fax:
Practice Address - Street 1:438 RICHLAND HILLS DR APT 10131
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3889
Practice Address - Country:US
Practice Address - Phone:386-882-6701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT89999133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered