Most Relevant Information
Provider Data
| NPI Number: | 1003176447 |
| Provider Name: | CHARLES WENDELL WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: | 372600000X |
Most Important Dates
| Enumeration Date: | 05/18/2012 |
| Last Updated: | 05/18/2012 |
Provider Practice Location
6902 MANOR TERRACE LN
RICHMOND
TX
774694102
Practice Location Phone/Fax
| Phone: | 8324493271 |
| Fax: | 8324493271 |
Provider Mailing Location
6902 MANOR TERRACE LN
RICHMOND
TX
774694102
Provider Mailing Phone/Fax
| Phone: | 8324493217 |
| Fax: | 8324493217 |