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Individual

WILLIAM THOMAS MCGLATHERY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4207 JAMES CASEY ST, SUITE 305, AUSTIN, TX 78745-1193
(512) 447-6096
(512) 447-2247
Mailing address
4207 JAMES CASEY ST, SUITE 305, AUSTIN, TX 78745-1193
(512) 447-6096
(512) 447-2247

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M3639
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190111801
TX
01
8W540
BCBS
TX
Enumeration date
05/04/2006
Last updated
02/08/2012
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