Individual
MR. WILLIAM ALEXANDER MILLAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ABC
Contact information
Practice address
905 HOLLIDAY ST, WICHITA FALLS, TX 76301-4312
(940) 322-4647
(940) 322-9806
Mailing address
905 HOLLIDAY ST, WICHITA FALLS, TX 76301-4312
(940) 322-4647
(940) 322-9806
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
21
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
514542
BLUE CROSS IDENTIFIER
TX
Enumeration date
05/10/2006
Last updated
07/09/2007
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