RICHARD LEE WILLIAMS (NPI# 1407017031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407017031 |
| Entity Type | Individual |
| Full Name | RICHARD LEE WILLIAMS |
| Credential | PA |
| Practice Address |
1315 Brookside Dr Hurst TX 76053-3942 |
| Practice Telephone | 8172687982 |
| Practice Fax Number | 8883313527 |
| Mailing Telephone | 8172687982 |
| Mailing Fax Number | 8883313527 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05825 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 8Y8586 | 01 |
| TX | 195448901 | 05 | |
| TX | TRICARE | TIN PLUS 008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1477079754 | Richard Stuart Williams | Preventive Medicine | 81 Flight Line Dr, Fredericksburg, VA 22405-1437 | 2017-08-17 |
| 1295277481 | Richard Williams | Nurse Practitioner | 96 Winfred Ave, Yonkers, NY 10704-2488 | 2016-11-06 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1558774992 | Richard Williams | Counselor | 164 Crestwood Dr, Ridgway, CO 81432-9694 | 2014-06-03 |
| 1023388840 | Richard David Williams | Dentist | 100 W Hickory Grove Rd, Apt D5, Bloomfield Hills, MI 48304-2161 | 2012-01-10 |
| 1821372376 | Richard Edward Williams | Dietitian, Registered | 420 Orchard Avenue, Beckley, WV 25801 | 2011-10-03 |
| 1497035125 | Richard Darren Williams | Pharmacy Technician | 327 Betty Jo Dr, Valdosta, GA 31602-1333 | 2011-08-25 |
| 1649509704 | Richard Judd Williams | Surgery | 560 Silver Reef Rd, Leeds, UT 84746-0729 | 2009-12-18 |
| 1366771941 | Richard Allen Williams | Internal Medicine | 3425 Clairton Pl, Encino, CA 91436-4137 | 2009-12-10 |
| Street Address |
1315 BROOKSIDE DR |
| City | HURST |
| State | TX |
| Zip Code | 76053-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033776422 | Jennifer J Ayala | Nurse Practitioner | 1315 Brookside Dr, Hurst, TX 76053-3942 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449933 | Areli Nunez | Physical Therapy Assistant | 304 Willow St, Hurst, TX 76053 | 2018-09-01 |
| 1043737778 | Sarah Renee Sarmiento | Occupational Therapy Assistant | 305 Ne Loop 820 Suite 209, Hurst, TX 76053 | 2017-08-23 |
| 1689026676 | Knee Coaster, LLC | Durable Medical Equipment & Medical Supplies | 1675 Sotogrande Blvd, 202, Hurst, TX 76053 | 2016-07-01 |
| 1053769836 | National Vision, Inc. | Technician/Technologist | 732 West Pipeline Rd, Hurst, TX 76053 | 2016-06-02 |
| 1902269038 | Martha De La Cruz-rodriguez | Specialist/Technologist | 305 Ne Loop 820 Business, Tower 1 Suite 200, Hurst, TX 76053 | 2016-04-05 |
| 1427420249 | Carol R. Wadsworth | Psychologist | 700 Ne Loop 820 Ste 200a, Hurst, TX 76053 | 2015-10-21 |
| 1972984623 | Sara Khalid Mahmood | Dentist | 800 Forest Oaks Ln Ste A, Hurst, TX 76053 | 2015-06-17 |
| 1306230073 | Sachenka Rivas | Speech-Language Pathologist | 305 Ne Loop 820,business Tower 1, Suite 200, Hurst, TX 76053 | 2015-03-20 |
| 1760873954 | Marcy Ann Fuentes | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1, Suite 200, Hurst, TX 76053 | 2015-02-10 |
| 1588062632 | Carolina Talancon | Specialist/Technologist | 305 Ne Loop 820;, Business Tower 1, Suite 200;, Hurst, TX 76053 | 2014-12-05 |
| Find all providers in zip 76053 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387853 | Tarjani S Mehta | Physician Assistant | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-12-05 |
| 1306315502 | Tien Thi Thuy Nguyen | Physician Assistant | 729 W Bedford Euless Rd Ste 206, Hurst, TX 76053-3941 | 2018-11-16 |
| 1770019283 | Joseph Martin Cuellar | Physician Assistant | 779 Grapevine Hwy, Hurst, TX 76054-2805 | 2017-05-03 |
| 1366836355 | Texas Primary Care Group Pllc | Physician Assistant | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3169 | 2015-03-27 |
| 1295166577 | Ray Shoulders | Physician Assistant | 1717 Precinct Line Rd Ste 200, Hurst, TX 76054-3197 | 2013-12-11 |
| 1760758320 | Cameron Whitaker Clark | Physician Assistant | 809 W Harwood Rd, Hurst, TX 76054-3289 | 2012-03-28 |
| 1700157708 | Audra Collins | Physician Assistant | 6316 Precinct Line Rd, Hurst, TX 76054-2766 | 2012-01-23 |
| 1528337961 | Pinnacle Anesthesia Consultants, Pllc | Physician Assistant | 809 W Harwood Rd, Suite 103, Hurst, TX 76054-3289 | 2011-12-14 |
| 1154658938 | Stephanie A Hilton | Physician Assistant | 779 Grapevine Hwy, Hurst, TX 76054-2805 | 2009-11-16 |
| 1730322454 | Roxanne Simper | Physician Assistant | 1717 Precinct Line Rd, Hurst, TX 76054-3169 | 2009-04-10 |
| Find all providers in HURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.