Dr. William R. Powell
Interventional Cardiology Cardiothoracic Vascular Surgeon
910 E Houston St
Tyler
, Texas 75702-8369
Dr. William R. Powell
Interventional Cardiology Cardiothoracic Vascular Surgeon
910 E Houston St
Tyler
, Texas 75702-8369
(903) 326-6461
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About
Features
Specialties
- Interventional Cardiology
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. William R. Powell
- Po Box 5500
- Tyler, TX
- Zip : 75712
- Fax : (903) 326-6461
- Phone : (903) 324-6400
Second Address
- Dr. William R. Powell
- 910 E Houston St
- Tyler, TX
- Zip : 75702-8369
- Fax : (903) 592-1934
- Phone : (903) 525-2992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | E8826 | TX |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | E8826 | TX |
National Provider Identifier
| NPI | 1043220643 |
|---|---|
| Provider Name | Dr. William R. Powell |
| First Address | Tyler, TX 75712 |
| Second Address | Tyler, TX 75702-8369 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 02/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 752616977053 | TRICARE LOCAL CODE (530) (01) | TX |
| C20652 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.