Provider Demographics
NPI:1073501334
Name:RAMSDELL, WILLIAM MARSHALL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MARSHALL
Last Name:RAMSDELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WESTLAKE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5373
Mailing Address - Country:US
Mailing Address - Phone:512-327-7779
Mailing Address - Fax:512-444-0977
Practice Address - Street 1:102 WESTLAKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5394
Practice Address - Country:US
Practice Address - Phone:512-327-7779
Practice Address - Fax:512-444-0977
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54405174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87171FMedicare PIN