Mcbroom, William M
Mcbroom, William M is an individual health care provider with primary practice located at 1253 N Von Minden St , La Grange TX 78945-1262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcbroom, William M can be contacted via phone (979) 968-8493.Contact Information
Primary practice address
1253 N Von Minden St
La Grange TX 78945-1262
Phone: (979) 968-8493
Fax: (979) 968-6388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E6500 | Texas |
Profile Details
| NPI number | 1407998461 |
|---|---|
| LBN Legal business name | Mcbroom, William M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407998461 | NPPES |
| Texas | Other | E6500 | STATE LICENSE |
| Texas | MEDICAID | 139351417 | STATE LICENSE |
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