Provider Demographics
NPI:1275599342
Name:ROTZLER, WILLIAM HILLIARD (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HILLIARD
Last Name:ROTZLER
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 1:705 E MARSHALL AVE
Mailing Address - Street 2:SUITE 5003
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5573
Mailing Address - Country:US
Mailing Address - Phone:903-236-3035
Mailing Address - Fax:903-757-3178
Practice Address - Street 1:705 E MARSHALL AVE
Practice Address - Street 2:SUITE 5003
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5573
Practice Address - Country:US
Practice Address - Phone:903-236-3035
Practice Address - Fax:903-757-3178
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5557174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A66HMedicare UPIN