Doctor Name: | DIANA WILLIAMS |
NPI Number: | 1174505838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, WHMP |
License Number: | WIL-0429-7169 |
Business Practice Address: | 12709 Toepperwein Rd Suite 309 Live Oak, TX - 782333258 |
Business Phone Number: | 2106574099 |
Business Fax Number: | 2105999137 |
Mailing Address: | 1210 Arion Pkwy, SAN ANTONIO |
State: | TX |
Postal Code: | 782162880 |
Phone Number: | 2103499300 |
Fax Number: | 2103662558 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | WIL-0429-7169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |