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General NPI Number Information
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NPI Number | 1275599342
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Entity Type | Individual
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Provider Name | WILLIAM HILLIARD ROTZLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 705 E MARSHALL AVE SUITE 5003
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City | LONGVIEW
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State | TX
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Zip | 75601-5573
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Country | US
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Telephone | 903-236-3035
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Fax | 903-757-3178
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Provider Business Mailing Address
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Address Line | 705 E MARSHALL AVE SUITE 5003
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City | LONGVIEW
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State | TX
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Zip | 75601-5573
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Country | US
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Telephone | 903-236-3035
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Fax | 903-757-3178
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G5557
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License Number State | TX
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