Individual provider · NPI-1

Dr. William R. Powell, MD

Internal Medicine, Interventional Cardiology · Tyler, TX

NPI number1043220643
StatusActive
Last updated in NPPESJan 2, 2008

Details

NPI
1043220643
Entity type
Individual (NPI-1)
Name
Dr. William R. Powell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2006
Last updated
Jan 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0011X Internal Medicine, Interventional CardiologyE8826TXYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)E8826TX

Practice location

910 E Houston St
Tyler, TX 75702-8369

Phone 903-525-2992 · Fax 903-592-1934

Mailing address

Po Box 5500
Tyler, TX 75712

Phone 903-324-6400 · Fax 903-326-6461

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