William A. Tisdall, M.D., P.A.
LBN: William A. Tisdall, M.D., P.A.
William A. Tisdall, M.D., P.A. is an health care organization with primary practice located at 1919 Rogers Rd Suite 104, San Antonio TX 78251-4614. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
William A. Tisdall, M.D., P.A. can be contacted via phone (210) 541-0700, or through Tisdall, William Alec via phone (210) 541-0700.
Contact Information
Primary practice address
1919 Rogers Rd Suite 104
San Antonio TX 78251-4614
Phone: (210) 541-0700
Fax: (210) 514-6868
Website:
Authorized official contact:
Name: Tisdall, William Alec Doctor of Medicine (MD)
Phone: (210) 541-0700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1598085243 |
|---|---|
| LBN Legal business name | William A. Tisdall, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Tisdall, William Alec Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2010 |
| Last updated | Apr 5th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598085243 | NPPES |
| Texas | MEDICAID | 217091201 | |
| Texas | Other | 0039TQ |
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