Provider Demographics
NPI:1710730254
Name:WILLIAMS, GEORGIA E (MD, MSC)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 WEST LOOP S STE 130
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3536
Mailing Address - Country:US
Mailing Address - Phone:713-500-8331
Mailing Address - Fax:
Practice Address - Street 1:6500 WEST LOOP S STE 130
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3536
Practice Address - Country:US
Practice Address - Phone:713-500-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783656207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine