Provider Demographics
NPI:1316937022
Name:WILLIAMS, HEATHER RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:525 OAK CENTRE DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3916
Mailing Address - Country:US
Mailing Address - Phone:210-402-6022
Mailing Address - Fax:210-402-2930
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:STE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3916
Practice Address - Country:US
Practice Address - Phone:210-402-6022
Practice Address - Fax:210-402-2930
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2016-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM4982207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185513201Medicaid
TX8J3393Medicare Oscar/Certification
TX185513201Medicaid