Brelsford, William George
Brelsford, William George is an individual health care provider with primary practice located at 1212 Clinic Dr , Tyler TX 75701-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Brelsford, William George can be contacted via phone (903) 596-8858.Contact Information
Primary practice address
1212 Clinic Dr
Tyler TX 75701-2117
Phone: (903) 596-8858
Fax: (903) 535-9138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G1283 | Texas |
Profile Details
| NPI number | 1770586703 |
|---|---|
| LBN Legal business name | Brelsford, William George |
| Credentials | MD, FACP, FACR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770586703 | NPPES |
| Texas | Other | 8A7490 | BCBS |
| Texas | MEDICAID | 042884901 | BCBS |
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