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General NPI Number Information
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NPI Number | 1508802877
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Entity Type | Individual
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Provider Name | WILLIAM JUSTUS HEAD III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2518 W TRENTON RD
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City | EDINBURG
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State | TX
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Zip | 78539-8070
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Country | US
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Telephone | 956-661-9000
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Fax | 956-686-7833
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Provider Business Mailing Address
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Address Line | 5111 N 10TH ST PMB 210
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City | MCALLEN
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State | TX
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Zip | 78504-2835
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Country | US
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Telephone | 956-631-4533
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Fax | 956-631-4335
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | F6730
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License Number State | TX
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