Dietze, William E

Dietze, William E is an individual health care provider with primary practice located at 115 Airport Rd , Sulphur Springs TX 75482-2105. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Dietze, William E can be contacted via phone (903) 438-4670.

Contact Information

Primary practice address
115 Airport Rd Sulphur Springs TX 75482-2105
Phone: (903) 438-4670
Fax: (903) 885-8720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D4092 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D4092 Texas

Profile Details

NPI number 1396740387
LBN Legal business name Dietze, William E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 26th, 2018 - about 8 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 1396740387 NPPES
Texas Other 75-2616977-113 TRICARE
Texas MEDICAID 089557503 TRICARE

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