Provider Demographics
NPI:1285388926
Name:WILLIAMS, LUVENIA
Entity type:Individual
Prefix:
First Name:LUVENIA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10414 WINTER ORCHID WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-2200
Mailing Address - Country:US
Mailing Address - Phone:346-243-6734
Mailing Address - Fax:
Practice Address - Street 1:10414 WINTER ORCHID WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-2200
Practice Address - Country:US
Practice Address - Phone:346-243-6734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC5C5Q6E5374700000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No374700000XNursing Service Related ProvidersTechnician