Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D5958 | TX |
NPI | 1104822154 |
---|---|
Provider Name | William Franklin Dean |
First Address | Wichita Falls, TX 76308-9261 |
Second Address | Wichita Falls, TX 76301-4323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 14/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113926304 | (05) | TX |
C15136 | (02) |