Organization Active NPI

Williams-Siders Health and Wellness

  • Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1669081006
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WILLIAMS-SIDERS HEALTH AND WELLNESS
Practice address
160 Colter Dr
Waxahachie, TX 75167
Phone
(469) 306-6260
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Pamela Williams-Siders, FNP
Title
Manager
Phone
(469) 306-6260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

160 Colter Dr
Waxahachie, TX 75167

Mailing address

160 Colter Dr
Waxahachie, TX 75167
Phone (469) 306-6260

Other practice location 1

315 S Cockrell Hill Rd
Duncanville, TX 75116-4041
Phone (469) 306-6260

National Provider Directory

National Provider Directory

Locations

315 S Cockrell Hill Rd
Duncanville, TX 75116
Phone (469) 306-6260

713 W Main St
Ste 3
Ovilla, TX 75154
Phone (469) 306-6260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1669081006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 COLTER DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75167",
            "telephone_number": "469-306-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COLTER DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75167",
            "telephone_number": "469-306-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Cockrell Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164041",
            "country_code": "US",
            "telephone_number": "469-306-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAMS-SIDERS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-SIDERS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-306-6260",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.