Christopher Ryan Williams, L.A.T.
Prevention Professional in Odessa, TX. Individual provider (NPI-1).
NPI number1265972467
StatusActive
Last updated in NPPESMar 7, 2017
Details
- NPI
- 1265972467
- Entity type
- Individual (NPI-1)
- Name
- Christopher Ryan Williams
- Credential
- L.A.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2017
- Last updated
- Mar 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | AT7047 | TX | Yes |
Practice location
1522 Beverly StOdessa, TX 79761-2939
Phone 432-528-9933
Mailing address
1522 Beverly StOdessa, TX 79761-2939
Phone 432-528-9933
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