William Lawrence Mize, M.D.
Pediatrics in Galveston, TX. Individual provider (NPI-1).
NPI number1790776326
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1790776326
- Entity type
- Individual (NPI-1)
- Name
- William Lawrence Mize
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Feb 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01060385A | IN | Yes |
Practice location
400 Harborside DriveGalveston, TX 77555-0001
Phone 409-747-7334 · Fax 409-747-8579
Mailing address
301 University BlvdProvider Enrollment -- Rt. 1022
Galveston, TX 77555-5302
Phone 409-747-7334 · Fax 409-747-8579
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