MEDICARE: WILLIAM L SUTKER, MD, PA

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1194025064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM L SUTKER, MD, PA

Provider Business Mailing Address
First Line	:	9603 WHITE ROCK TRAIL
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75238-5039
Country	:	US
Telephone Number	:	972-644-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 CARLISLE
Second Line	:	SUITE 260
City	:	DALLAS
State	:	TX
Zip	:	75204-4068
Country	:	US
Telephone Number	:	214-303-1033
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. WILLIAM L SUTKER
Credential	:	MD
Telephone Number	:	214-303-1033

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/26/2010

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