1962486977 NPI number — DR. WILLIAM ALLYN ROBERTS MD

Table of content: DR. WILLIAM ALLYN ROBERTS MD (NPI 1962486977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962486977 NPI number — DR. WILLIAM ALLYN ROBERTS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBERTS
Provider First Name:
WILLIAM
Provider Middle Name:
ALLYN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1962486977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2935 THOUSAND OAKS DR STE 294
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78247-3563
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-494-1100
Provider Business Mailing Address Fax Number:
210-494-1117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1613 N MCKENZIE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOLEY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-949-3920
Provider Business Practice Location Address Fax Number:
251-949-3930
Provider Enumeration Date:
12/02/2005

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: 207X00000X , with the licence number:  MD23703 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X , with the licence number: 23703 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 009951420 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 528700580 . This is a "GROUP MEDICAID" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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