Provider Demographics
NPI:1871969014
Name:WILLIAMS, ANTOINE II (RN)
Entity type:Individual
Prefix:MR
First Name:ANTOINE
Middle Name:
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:RN
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Mailing Address - Street 1:3851 ROGER BROOKE DR
Mailing Address - Street 2:SAN ANTONIO MILITARY MEDCIAL CENTER
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4501
Mailing Address - Country:US
Mailing Address - Phone:210-916-3192
Mailing Address - Fax:210-916-5400
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:SAN ANTONIO MILITARY MEDCIAL CENTER
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-3192
Practice Address - Fax:210-916-5400
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX0001217967163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health