MEDICARE: WILLIAM WORTHAM 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	207RN0300X	Nephrology Physician	J1063	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	390004831	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407831449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WORTHAM M.D.

Provider Business Mailing Address
First Line	:	7142 SAN PEDRO AVE
Second Line	:	SUITE 120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6254
Country	:	US
Telephone Number	:	210-661-5622
Fax Number	:	210-590-8232

Provider Business Practice Location Address
First Line	:	2391 NE LOOP 410
Second Line	:	STE 405
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5600
Country	:	US
Telephone Number	:	210-654-7326
Fax Number	:	210-590-8232

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/30/2009

Similar Medicare Providers

1447235908 — PETER SMOLENS M.D.
Practice Location Address:

2391 NE LOOP 410 , SUITE 405
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-654-7326
Practice Fax: 210-590-8232

1245273358 — SALSA SLEEP APNEA LABS OF SAN ANTONIO INC
Practice Location Address:

2391 NE LOOP 410 , SUITE 204
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-479-7704
Practice Fax: 210-479-2692

1750463907 — TELECARE MENTAL HEALTH SERVICES OF TEXAS, INC.
Practice Location Address:

2391 NE LOOP 410 , SUITE 120
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-222-0152
Practice Fax: 210-222-1392

1316065014 — SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Practice Location Address:

2391 NE LOOP 410 , STE 405
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-654-7326
Practice Fax: 210-590-8232

1255451613 — TOTAL SLEEP DIAGNOSTICS CONTRACT SERVICES INC
Practice Location Address:

2391 NE LOOP 410 , STE 204
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-650-4999
Practice Fax: 210-650-9654

1720209406 — F CHARLES PETR MD PA
Practice Location Address:

2391 NE LOOP 410 , SUITE 101
SAN ANTONIO, TX
78217-5600

Practice Phone: 210-656-3376
Practice Fax: 210-656-4864

Directions to “ WILLIAM WORTHAM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.