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Physician Compare National (NPI:1508802877)

HEALTHCARE PROVIDER: WILLIAM JUSTUS HEAD III M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1508802877
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426029265
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040805000504
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HEAD
Individual professional last name
Provider First Name WILLIAM
Individual professional first name
Provider Middle Name JUSTUS
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 605 E VIOLET AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2
Group Practice or individual's line 2 address
City MCALLEN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 785042469
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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