Provider Demographics
NPI:1275919623
Name:WILLIAM J. FIELDSMITH MD PA
Entity Type:Organization
Organization Name:WILLIAM J. FIELDSMITH MD PA
Other - Org Name:ROCKWALL RAPID CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FIELDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-769-5688
Mailing Address - Street 1:2313 RIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5141
Mailing Address - Country:US
Mailing Address - Phone:972-345-8765
Mailing Address - Fax:469-698-8686
Practice Address - Street 1:2313 RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5141
Practice Address - Country:US
Practice Address - Phone:469-769-5688
Practice Address - Fax:469-698-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-08
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty