Harrell, William Bruce
Harrell, William Bruce is an individual health care provider with primary practice located at 910 E Houston St Ste 600, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Harrell, William Bruce can be contacted via phone (903) 526-2644.Contact Information
Primary practice address
910 E Houston St Ste 600
Tyler TX 75702-8369
Phone: (903) 526-2644
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 41278 | Tennessee |
Allopathic & Osteopathic Physicians / Urology | 208800000X | M9347 | Texas |
Profile Details
NPI number | 1093731788 |
---|---|
LBN Legal business name | Harrell, William Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Feb 17th, 2016 - about 8 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 | 1093731788 | NPPES |
Texas | MEDICAID | 19312301 | |
Texas | Other | 75-2616977-007 | |
Texas | Other | 75-2616977-126 | |
Texas | Other | 752616977083 | |
Texas | Other | 752616977109 | |
Texas | Other | 75-2616977-052 | |
Texas | Other | 75-2616977-095 | |
Texas | MEDICAID | 139123002 | |
Texas | Other | 752616977001 | |
Texas | MEDICAID | 193123003 | |
Texas | Other | 75-2616977-008 | |
Texas | Other | 8BC260 | |
Texas | Other | 752616977015 | |
Texas | Other | 752616977028 |
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