Carol Lynn Williams
Individual provider Active NPI Licensed Vocational Nurse · Rogers, TX
NPI 1164907291 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1164907291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 76522 (TX)
- Practice address
- 511 Mary St
Rogers, TX 76569-4109 - Phone
- (254) 493-7364
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76522 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 76522 | TX | Yes |
Addresses
Primary practice location
511 Mary St
Rogers, TX 76569-4109
Mailing address
511 Mary St
Rogers, TX 76569-4109
Other providers in Rogers, TX
All providers in Rogers, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.