Individual provider Active NPI

Teresa Renee Williams, M.D.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1699901645
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N9984 Issued in TX
Practice address
800 Wilcrest Dr
Suite 204
Houston, TX 77042-6301
Phone
(866) 713-3776
Fax
(866) 713-3776
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X N9984 TX Primary

Addresses

Primary practice location

800 Wilcrest Dr
Suite 204
Houston, TX 77042-6301

Mailing address

3511 Englewood Dr
Pearland, TX 77584-9189
Phone (866) 713-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N9984TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Mencer, M.D., P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1699901645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 ENGLEWOOD DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849189",
            "telephone_number": "866-713-3776",
            "fax_number": "866-713-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WILCREST DR",
            "address_2": "SUITE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770426301",
            "telephone_number": "866-713-3776",
            "fax_number": "866-713-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERESA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N9984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.