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Individual
MR. WILLIAM B EZELL
Active
Individual
MR. WILLIAM B EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
051342
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP110320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002965402
—
TX
05
—
002965407
—
TX
05
—
002965408
—
TX
01
—
85650U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/11/2005
Last updated
04/28/2020
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