Billingsley, William Randolph

Billingsley, William Randolph is an sole proprietor health care provider with primary practice located at 1701 River Run Ste 310 , Fort Worth TX 76107-6547. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Billingsley, William Randolph can be contacted via phone (817) 334-0011.

Contact Information

Primary practice address
1701 River Run Ste 310 Fort Worth TX 76107-6547
Phone: (817) 334-0011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2-3146 Texas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2-3146 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2-3146 Texas

Profile Details

NPI number 1750401972
LBN Legal business name Billingsley, William Randolph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750401972 NPPES
Texas MEDICAID P00121-E5

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