Individual
DR. WILLIAM DAVID LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(817) 568-5950
(817) 551-2467
Mailing address
PO BOX 6278, FORT WORTH, TX 76115-0278
(817) 568-5467
(817) 568-5474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H6881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039805902
—
TX
01
—
572825YM36
MEDICARE
TX
Enumeration date
09/25/2006
Last updated
02/16/2018
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