Carolyn Davis Williams, R.PH.,D.C.,C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5023 Issued in TX

Practice address

2408 Wheeler St
Houston, TX 77004-5250

Phone

(713) 529-6760

Fax

(713) 526-0655

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Metropolitan Medicine PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1295807469
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1083756407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 BINZ ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047813",
            "telephone_number": "713-529-6760",
            "fax_number": "713-526-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WHEELER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045250",
            "telephone_number": "713-529-6760",
            "fax_number": "713-526-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLYN",
        "middle_name": "DAVIS",
        "credential": "R.PH.,D.C.,C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C603350",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Morjan Williams, MED.
• Carishia Urian Williams, LMSW
• Carliss D Williams, R.N.
• Carolyn Ann Williams, LVN
• Carolyn Ann Williams, ANP-BC
• Catherine Williams, PMHNP
• Catherine Heard Williams, LMFT-ASSOCIATE
• Cemmone Williams
• Chanieka Dominique Williams, LMSW
• Charrika Cenea Williams, NP-C

• Sports Physician Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.