Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G4977 | TX |
NPI | 1023003563 |
---|---|
Provider Name | Dr. William K Deschner |
First Address | Dallas, TX 75235-0629 |
Second Address | San Marcos, TX 78666-7546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 16/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E60670 | (02) | TX |