Healthcare Provider Details

I. General information

NPI: 1235199456
Provider Name (Legal Business Name): WILLIAM W STORMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 MEDICAL CENTER POINT #190
COLO SPRINGS CO
80907
US

IV. Provider business mailing address

5929 BALCONES DR STE 200
AUSTIN TX
78731-4280
US

V. Phone/Fax

Practice location:
  • Phone: 719-955-6000
  • Fax: 719-955-9595
Mailing address:
  • Phone: 512-550-1800
  • Fax: 877-647-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number16815
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: