1518222009 NPI number — MICHELLE MUNN WILLIAMS PC

Table of content: (NPI 1518222009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518222009 NPI number — MICHELLE MUNN WILLIAMS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MICHELLE MUNN WILLIAMS 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:
6
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:
1518222009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 845
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROYSE CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75189-0845
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-636-3937
Provider Business Mailing Address Fax Number:
972-635-9899

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7252 FM 35
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROYSE CTY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-636-3937
Provider Business Practice Location Address Fax Number:
972-635-9899
Provider Enumeration Date:
07/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MUNN
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
OPTOMETRIST/OWNER
Authorized Official Telephone Number:
972-636-3937

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  7221TG , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com