Provider Demographics
NPI:1104570985
Name:WILLIAMSON, NIKITIA RENETTE
Entity type:Individual
Prefix:PROF
First Name:NIKITIA
Middle Name:RENETTE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NIKITIA
Other - Middle Name:RENETTE
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8106 REDFERN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-3016
Mailing Address - Country:US
Mailing Address - Phone:832-731-0491
Mailing Address - Fax:
Practice Address - Street 1:8106 REDFERN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-3016
Practice Address - Country:US
Practice Address - Phone:832-731-0491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03979256343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)