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NPI Code Detail

MEDICARE: WILLIAM BRIAN POWELL MD

MEDICARE: WILLIAM BRIAN POWELL MD
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
1208D00000XGeneral Practice PhysicianW2471TX

General Provider Information

NPI Number : 1396595963
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM BRIAN POWELL MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-0808
Fax Number : 210-916-6654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 01/29/2026

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Directions to “ WILLIAM BRIAN POWELL MD” Practice Location

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