Individual
DR. WILLIAM T MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 RAINTREE CIR STE 120, ALLEN, TX 75013
(214) 817-9301
(217) 214-5948
Mailing address
1101 RAINTREE CIR STE 120, ALLEN, TX 75013-5292
(469) 656-9041
(469) 656-9046
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q4201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34876700
—
WI
Enumeration date
01/30/2006
Last updated
02/17/2020
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