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Individual

DR. WILLIAM S CANTWELL

Active
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Individual

DR. WILLIAM S CANTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201136
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD.201136
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N3533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09281
LA
05
1092819
LA
05
181274001
AR
05
208430301
TX
05
208430302
TX
01
8V3851
BCBS
TX
01
TIN PLUS 042
TRICARE
TX
Enumeration date
05/29/2007
Last updated
03/26/2013
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