MEDICARE: WILLIAM MARSHALL RAMSDELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	54405	TX

General Provider Information

NPI Number	:	1073501334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM MARSHALL RAMSDELL M.D.

Provider Business Mailing Address
First Line	:	102 WESTLAKE DRIVE
Second Line	:	SUITE 100
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5373
Country	:	US
Telephone Number	:	512-327-7779
Fax Number	:	512-444-0977

Provider Business Practice Location Address
First Line	:	102 WESTLAKE DR
Second Line	:	SUITE 100
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5394
Country	:	US
Telephone Number	:	512-327-7779
Fax Number	:	512-444-0977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/30/2007

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