MEDICARE: MR. WILLIAM VOLL KCSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZS0410X	Surgical Technologist
2	246ZS0410X	Surgical Technologist	SA039	KY

General Provider Information

NPI Number	:	1376684910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM VOLL KCSA

Provider Business Mailing Address
First Line	:	7324 SOUTHWEST FWY STE 1550
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2053
Country	:	US
Telephone Number	:	713-779-9800
Fax Number	:	713-779-9813

Provider Business Practice Location Address
First Line	:	7324 SOUTHWEST FWY STE 1550
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2053
Country	:	US
Telephone Number	:	713-779-9800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	09/11/2013

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