Caudill, William Hampton
Caudill, William Hampton is an sole proprietor health care provider with primary practice located at 6451 Brentwood Stair Rd Suite 200, Fort Worth TX 76112-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Caudill, William Hampton can be contacted via phone (817) 507-1770.Contact Information
Primary practice address
6451 Brentwood Stair Rd Suite 200
Fort Worth TX 76112-3200
Phone: (817) 507-1770
Fax: (817) 507-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J7758 | Texas |
Profile Details
| NPI number | 1629053665 |
|---|---|
| LBN Legal business name | Caudill, William Hampton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Dec 18th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629053665 | NPPES |
| Texas | Other | 0079KW | BCBS |
| Texas | MEDICAID | 125540801 | BCBS |
| Texas | Other | 930057454 | BCBS |
| Texas | MEDICAID | 164674701 | BCBS |
| Texas | Other | 85898F | BCBS |
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