1811940307 NPI number — DR. WILLIAM DAVID MCCHESNEY M.D.

Table of content: (NPI 1942905468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811940307 NPI number — DR. WILLIAM DAVID MCCHESNEY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCHESNEY
Provider First Name:
WILLIAM
Provider Middle Name:
DAVID
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811940307
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11800 FM 1960 RD W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77065-3840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-955-7577
Provider Business Mailing Address Fax Number:
281-955-5875

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21212 NORTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 605
Provider Business Practice Location Address City Name:
CYPRESS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77429-5884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-955-7577
Provider Business Practice Location Address Fax Number:
281-955-5875
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XX0005X , with the licence number:  H9377 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8F4301 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com