Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | K1410 | TX |
NPI | 1013935188 |
---|---|
Provider Name | Dr. William Francis Davitt III |
First Address | El Paso, TX 79930-4943 |
Second Address | El Paso, TX 79904-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127340106 | (05) | TX |
C94836 | (02) | TX |