Witham, William R

Witham, William R is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Suite 200, Fort Worth TX 76104-2158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Witham, William R can be contacted via phone (817) 332-9957.

Contact Information

Primary practice address
1325 Pennsylvania Ave Suite 200 Fort Worth TX 76104-2158
Fax: (817) 336-3130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X L8231 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X L8231 Texas

Profile Details

NPI number 1447201157
LBN Legal business name Witham, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 11th, 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 1447201157 NPPES
Texas MEDICAID 176760002
Texas Other 1D7580
Texas MEDICAID 176760001

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