Provider Demographics
NPI:1447254420
Name:WILLIAMS, CAROLINE BONESTEEL (AUD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:BONESTEEL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11503 SPICEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2601
Mailing Address - Country:US
Mailing Address - Phone:512-553-3813
Mailing Address - Fax:
Practice Address - Street 1:11503 SPICEWOOD PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2601
Practice Address - Country:US
Practice Address - Phone:512-553-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51457231H00000X
TX91029237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K6276Medicare PIN