Individual
WILLIAM F. AVERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(936) 329-8700
Mailing address
PO BOX 202027, DALLAS, TX 75320-0001
(866) 684-1497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K3016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X1870
BCBS PIN NUMBER
TX
Enumeration date
10/11/2006
Last updated
07/18/2007
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