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Individual
MR. WILLIAM H DODSON
Active
Individual
MR. WILLIAM H DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DSC, OCS, CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1072692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060DL
BLUE CROSS BLUE SHIELD
TX
05
—
062884401
—
TX
01
—
105319100
FIRSTCARE
TX
01
—
144906801
MEDICAID DME
TX
01
—
752617756
TAX IDENTFICATION NUMBER
TX
01
—
83325T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/14/2006
Last updated
08/05/2015
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