Individual
WILLIAM TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ, SUITE 300, HOUSTON, TX 77046-0297
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10941
TX
Other
Enumeration date
11/03/2016
Last updated
11/10/2016
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