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NPI Code Detail

MEDICARE: MR. WILLIAM F JIRON III ATP, CRTS

MEDICARE: MR. WILLIAM F JIRON III ATP, CRTS
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
1247200000XOther Technician

General Provider Information

NPI Number : 1306139951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM F JIRON III ATP, CRTS
Provider Business Mailing Address
First Line : 4801 READING ST
Second Line :
City : DALLAS
State : TX
Zip : 75247-6716
Country : US
Telephone Number : 214-658-9097
Fax Number : 214-658-9051
Provider Business Practice Location Address
First Line : 4801 READING ST
Second Line :
City : DALLAS
State : TX
Zip : 75247-6716
Country : US
Telephone Number : 214-658-9097
Fax Number : 214-658-9051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2011
Last Update Date : 05/16/2011

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