William a. Tisdall, M.D., P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WILLIAM A. TISDALL, M.D., P.A.

Practice address

1314 E Sonterra Blvd Ste 2107
San Antonio, TX 78258-4286

Phone

(210) 541-0700

Fax

(210) 541-6868

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Alec TisdallNPI 1124153754

Title

President

Phone

(210) 541-0700

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Alec Tisdall, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1124153754
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1760994420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514775",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 2107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584286",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. TISDALL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "TISDALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALEC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-541-0700"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217091201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna B Willey-Courand, MD
• Mica Willey, RBT
• Lourdes Alejandra Willhite, DDS
• William a Atlas MD PA
• William a. Tisdall, M.D., P.a.
• William D Lovelady DPM PA
• William E Craig MD PA
• William E Sponsel, M.D. PA
• William F Terhune DMD PC (San Antonio Orthodontic Specialists)
• William J Peche, M.D., P. a

• Interventional Pain Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.