Individual
SIDNEY A WORSHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0540
(409) 772-2091
(409) 772-5144
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D8491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130280403
—
TX
Enumeration date
10/10/2006
Last updated
04/05/2012
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