Provider Demographics
NPI:1831577311
Name:WILLIAMS, TAMARA DIANNE (NP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:DIANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7501 LAKEVIEW PKWY STE 245
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9326
Mailing Address - Country:US
Mailing Address - Phone:469-626-1577
Mailing Address - Fax:469-626-1335
Practice Address - Street 1:7501 LAKEVIEW PKWY STE 245
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9326
Practice Address - Country:US
Practice Address - Phone:694-626-1577
Practice Address - Fax:469-626-1335
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily