Provider Demographics
NPI:1992064117
Name:WILLIAMS, EVELYN MARIE (AUD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3924 N SHEPHERD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-6410
Mailing Address - Country:US
Mailing Address - Phone:713-691-3001
Mailing Address - Fax:713-691-0120
Practice Address - Street 1:3924 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-6410
Practice Address - Country:US
Practice Address - Phone:713-691-3001
Practice Address - Fax:713-691-0120
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80166231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist