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NPI Code Detail

MEDICARE: MR. WILLIAM ALEXANDER CURRIE III LSA

MEDICARE: MR. WILLIAM ALEXANDER CURRIE III LSA
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
1246ZC0007XSurgical AssistantSA00677TX

General Provider Information

NPI Number : 1790750826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM ALEXANDER CURRIE III LSA
Provider Business Mailing Address
First Line : 7115 GREENVILLE AVE STE 310
Second Line :
City : DALLAS
State : TX
Zip : 75231-5103
Country : US
Telephone Number : 214-265-3200
Fax Number : 214-265-3291
Provider Business Practice Location Address
First Line : 7115 GREENVILLE AVE STE 310
Second Line :
City : DALLAS
State : TX
Zip : 75231-5103
Country : US
Telephone Number : 214-265-3200
Fax Number : 214-265-3291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 09/23/2019

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