William Stanton Allred
Individual provider Active NPI Podiatrist · Euless, TX
NPI 1194765461 · NPPES record last updated Jun 6, 2008
Key facts
- NPI
- 1194765461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0627 (TX)
- Practice address
- 311 Westpark Way
Euless, TX 76040 - Phone
- (817) 354-7094
- Fax
- (817) 358-1084
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0627 | TX | Yes |
Addresses
Primary practice location
311 Westpark Way
Euless, TX 76040
Mailing address
311 Westpark Way
Euless, TX 76040
Phone (817) 354-7094
Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.