Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9004 | TX |
NPI | 1083693600 |
---|---|
Provider Name | Dr. William E Thornton |
First Address | San Antonio, TX 78216 |
Second Address | San Antonio, TX 78216-6627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 26/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00N96A | GROUP BCBS (01) | |
1207540-04 | (05) | TX |
1207540-05 | (05) | TX |
1207540-06 | (05) | TX |
1207540-07 | (05) | TX |
1207540-08 | (05) | TX |
1207540-09 | (05) | TX |
1207540-10 | (05) | TX |
731009960006 | TRICARE (01) | |
80W702 | BCBS (01) | |
838355 | UNITED CONCORDIA (01) | |
T16283 | (02) |