Riki Jo Williamson, | |
402 N Kaufman St, Linden, TX 75563-5234 | |
(903) 756-5581 | |
(903) 756-5005 |
Full Name | Riki Jo Williamson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 402 N Kaufman St, Linden, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407611478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1153075 (Texas) | Primary |
Entity Name | Phynet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144245176 PECOS PAC ID: 8527038298 Enrollment ID: O20040729000674 |
Mailing Address | Practice Location Address |
---|---|
Riki Jo Williamson, 4002 Technology Ctr, Longview, TX 75605-2697 Ph: (903) 247-0484 | Riki Jo Williamson, 402 N Kaufman St, Linden, TX 75563-5234 Ph: (903) 756-5581 |
Chrystal G Brown, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 N Kaufman St # 5234, Linden, TX 75563 Phone: 903-756-5581 | |
Ruth Margaret Rochat, APRN BC-ADM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 N Kaufman St, Linden, TX 75563 Phone: 903-756-5581 Fax: 903-756-5005 | |
Lena Brittany Ingraham, PPCNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 N Kaufman St, Linden, TX 75563 Phone: 903-756-5581 Fax: 903-756-5005 |