MEDICARE: DR. WILLIAM EUGENE POWELL II M.D.

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	207V00000X	Obstetrics & Gynecology Physician	D2821	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568763191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM EUGENE POWELL II M.D.

Provider Business Mailing Address
First Line	:	2602 BAYCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3706
Country	:	US
Telephone Number	:	713-824-8426
Fax Number	:	281-333-4595

Provider Business Practice Location Address
First Line	:	2602 BAYCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3706
Country	:	US
Telephone Number	:	713-824-8426
Fax Number	:	281-333-4595

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

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	11/12/2010

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