Organization Active NPI

Williams Healthcare

  • Preferred Provider Organization
  • Beaumont, TX
National Provider Identifier
1003208521
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
WILLIAMS HEALTHCARE
Practice address
3149 Brenham St
Beaumont, TX 77701-3912
Phone
(409) 617-3404
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Pachine Holmes
Title
Owner
Phone
(409) 617-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

3149 Brenham St
Beaumont, TX 77701-3912

Mailing address

3149 Brenham St
Beaumont, TX 77701-3912
Phone (409) 617-3404

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1003208521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 BRENHAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013912",
            "telephone_number": "409-617-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 BRENHAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013912",
            "telephone_number": "409-617-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "PACHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-617-3404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.