Mccullough, William T

Mccullough, William T is an individual health care provider with primary practice located at 1101 Raintree Cir Ste 120 , Allen TX 75013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mccullough, William T can be contacted via phone (214) 817-9301.

Contact Information

Primary practice address
1101 Raintree Cir Ste 120 Allen TX 75013
Fax: (217) 214-5948
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Q4201 Texas

Profile Details

NPI number 1093786931
LBN Legal business name Mccullough, William T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 17th, 2020 - about 5 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 1093786931 NPPES
Wisconsin MEDICAID 34876700

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