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1326062969 NPI number — WILLIAM TRAVIS AVARA III MD

NPI Number: 1326062969
Health Care Provider/Practitioner: WILLIAM TRAVIS AVARA III MD

Information about “1326062969” NPI (WILLIAM TRAVIS AVARA III MD) exists in 1326062969 in HTML format HTML  |  1326062969 in plain Text format TXT  |  1326062969 in PDF (Portable Document Format) PDF  |  1326062969 in an XML format XML  formats.

NPI Number : 1326062969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326062969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVARA",
    "FirstName": "WILLIAM",
    "MiddleName": "TRAVIS",
    "NamePrefix": null,
    "NameSuffix": "III",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2525 TELEPHONE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASCAGOULA",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39567",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "228-762-4483",
    "MailingAddressFaxNumber": "228-769-0406",
    "FirstLinePracticeLocationAddress": "2525 TELEPHONE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASCAGOULA",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39567",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-762-4483",
    "PracticeLocationAddressFaxNumber": "228-769-0406",
    "EnumerationDate": "07/27/2006",
    "LastUpdateDate": "04/28/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "09935",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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