Provider Demographics
NPI:1720629231
Name:WILLIAMS JAMES, DATOYA UNYA
Entity Type:Individual
Prefix:
First Name:DATOYA
Middle Name:UNYA
Last Name:WILLIAMS JAMES
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 1:6139 COLLEGE WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-5053
Mailing Address - Country:US
Mailing Address - Phone:214-717-2271
Mailing Address - Fax:
Practice Address - Street 1:6139 COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-5053
Practice Address - Country:US
Practice Address - Phone:214-717-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-06
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health