Wooten, William Keith

Wooten, William Keith is an individual health care provider with primary practice located at 510 E Clinton Ave , Athens TX 75751-3410. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Wooten, William Keith can be contacted via phone (903) 677-7434.

Contact Information

Primary practice address
510 E Clinton Ave Athens TX 75751-3410
Phone: (903) 677-7434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN054618 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP02498 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP129728 Texas
Nursing Service Providers / Registered Nurse 163W00000X 888140 Texas

Profile Details

NPI number 1619198363
LBN Legal business name Wooten, William Keith
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jan 16th, 2017 - about 7 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 1619198363 NPPES
Louisiana MEDICAID 1439649
Louisiana MEDICAID 3544850-02

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