Healthcare Provider Details

I. General information

NPI: 1518062009
Provider Name (Legal Business Name): WILLIAM LLOYD BUHROW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5788 ECKHERT RD
SAN ANTONIO TX
78240-3900
US

IV. Provider business mailing address

1226 VISTA DEL RIO
SAN ANTONIO TX
78216-1707
US

V. Phone/Fax

Practice location:
  • Phone: 210-699-2100
  • Fax:
Mailing address:
  • Phone: 210-492-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number17170
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: