1356316814 NPI number — CAROLINE B WILLIAMS PHD PC

Table of content: (NPI 1356316814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356316814 NPI number — CAROLINE B WILLIAMS PHD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLINE B WILLIAMS PHD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356316814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 ESCALERA CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOERNE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78006-2963
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-347-4027
Provider Business Mailing Address Fax Number:
800-866-8791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 ESCALERA CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOERNE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78006-2963
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-347-4027
Provider Business Practice Location Address Fax Number:
505-570-4560
Provider Enumeration Date:
02/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
CAROLINE
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
505-819-0859

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  911 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TP0016X , with the licence number: 20 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 21975264 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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