Provider Demographics
NPI:1346413622
Name:WILLIAM N. KANTOR, MD PA
Entity Type:Organization
Organization Name:WILLIAM N. KANTOR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:KANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-618-4221
Mailing Address - Street 1:6309 PRESTON RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2606
Mailing Address - Country:US
Mailing Address - Phone:972-618-4221
Mailing Address - Fax:972-618-4219
Practice Address - Street 1:6309 PRESTON RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2606
Practice Address - Country:US
Practice Address - Phone:972-618-4221
Practice Address - Fax:972-618-4219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9816208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE66354Medicare UPIN
TX00118UMedicare UPIN