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William Alec Tisdall, M.D.

Pain Medicine, Interventional Pain Medicine in San Antonio, TX. Individual provider (NPI-1).

NPI number1124153754
StatusActive
Last updated in NPPESJan 4, 2016

Details

NPI
1124153754
Entity type
Individual (NPI-1)
Name
William Alec Tisdall
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2007
Last updated
Jan 4, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - INTERVENTIONAL PAIN MANAGEMENT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineM5545TXYes
207LP2900X Anesthesiology, Pain MedicineM5545TX

Practice location

1919 Rogers Rd
Suite 204
San Antonio, TX 78251-4614

Phone 210-541-0700 · Fax 210-541-6868

Mailing address

1919 Rogers Rd
Suite 204
San Antonio, TX 78251-4614

Phone 210-541-0700 · Fax 210-541-6868

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Interventional Pain Medicine Physician providers in San Antonio, TX

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