Individual
DR. WILLIAM L SUTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 WORTH ST, 710, DALLAS, TX 75246-2029
(214) 823-2533
(214) 824-8679
Mailing address
3409 WORTH ST, 710, DALLAS, TX 75246-2029
(214) 823-2533
(214) 824-8679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E5261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124502902
—
TX
01
—
2226817
BLUE LINK
TX
01
—
4046840
AETNA
TX
01
—
440000050
RAIL ROAD MEDICARE
TX
01
—
83M391
BLUE CROSS BLUE SHIELD
TX
01
—
E5261
STATE LICENSE
TX
01
—
MDE5261
WORKERS COMP
TX
Enumeration date
04/25/2006
Last updated
08/05/2010
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