Powell, William R.

Powell, William R. is an individual health care provider with primary practice located at 910 E Houston St , Tyler TX 75702-8369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Powell, William R. can be contacted via phone (903) 525-2992.

Contact Information

Primary practice address
910 E Houston St Tyler TX 75702-8369
Phone: (903) 525-2992
Fax: (903) 592-1934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X E8826 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E8826 Texas

Profile Details

NPI number 1043220643
LBN Legal business name Powell, William R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043220643 NPPES
Texas Other 752616977053 TRICARE LOCAL CODE (530)

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