Individual
DR. WILLIAM R. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, TYLER, TX 75702-8369
(903) 525-2992
(903) 592-1934
Mailing address
PO BOX 5500, TYLER, TX 75712
(903) 324-6400
(903) 326-6461
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
E8826
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E8826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752616977053
TRICARE LOCAL CODE (530)
TX
Enumeration date
08/08/2006
Last updated
01/02/2008
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