Provider Demographics
NPI:1114043833
Name:CASE, WILLIAM (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:CASE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5757 WOODWAY DR
Mailing Address - Street 2:STE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1514
Mailing Address - Country:US
Mailing Address - Phone:713-840-8100
Mailing Address - Fax:713-840-8110
Practice Address - Street 1:5757 WOODWAY DR
Practice Address - Street 2:STE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1514
Practice Address - Country:US
Practice Address - Phone:713-840-8100
Practice Address - Fax:713-840-8110
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX650439Medicare PIN