Dr. William Todd Bohannon
Vascular Surgeon
2401 S 31st St
Temple
, Texas 76508-0001
Dr. William Todd Bohannon
Vascular Surgeon
2401 S 31st St
Temple
, Texas 76508-0001
(800) 994-0371
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Todd Bohannon
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone : (800) 994-0371
Second Address
- Dr. William Todd Bohannon
- 2401 S 31st St
- Temple, TX
- Zip : 76508-0001
- Phone : (254) 724-2111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | J8466 | TX |
National Provider Identifier
| NPI | 1023077864 |
|---|---|
| Provider Name | Dr. William Todd Bohannon |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Temple, TX 76508-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2006 |
| Last Update Date | 03/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1454878-05 | (05) | TX |
| 8R3601 | BLUE SHIELD (01) | TX |
| H45934 | (02) | TX |
| P00184720 | RR/MEDICARE (01) | 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.