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
Phone: (817) 332-9957
Fax: (817) 336-3130
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1447201157 | NPPES |
| Texas | MEDICAID | 176760002 | |
| Texas | Other | 1D7580 | |
| Texas | MEDICAID | 176760001 |
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