Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | BP10034383 | TX |
N | 207YS0123X | Facial Plastic Surgeon | 32968 | AL |
Y | 207YS0123X | Facial Plastic Surgeon | P9864 | TX |
NPI | 1073844957 |
---|---|
Provider Name | Dr. William Marshall Guy |
First Address | Shenandoah, TX 77384-3017 |
Second Address | Shenandoah, TX 77384-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2010 |
Last Update Date | 10/12/2015 |