Fontenot, William L
Fontenot, William L is an individual health care provider with primary practice located at 709 Hollybrook Dr Ste 3401 , Longview TX 75605-2412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fontenot, William L can be contacted via phone (903) 753-1778.Contact Information
Primary practice address
709 Hollybrook Dr Ste 3401
Longview TX 75605-2412
Phone: (903) 753-1778
Fax: (903) 753-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 43514 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | L0176 | Texas |
Profile Details
| NPI number | 1730161886 |
|---|---|
| LBN Legal business name | Fontenot, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 12th, 2019 - about 6 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 | 1730161886 | NPPES |
| Tennessee | MEDICAID | 1503997 |
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