Organization
WILLIAM A. FAWCETT, IV, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ARTHUR FAWCETT IV MD (PHYSICIAN)
(409) 892-7090
Entity
Organization
Contact information
Practice address
2965 HARRISON ST STE 315, BEAUMONT, TX 77702-1150
(409) 892-7090
(409) 892-4324
Mailing address
2965 HARRISON ST STE 315, BEAUMONT, TX 77702-1150
(409) 892-7090
(409) 892-4324
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
F0998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147396901
—
TX
Enumeration date
08/28/2007
Last updated
08/28/2007
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