Provider Demographics
NPI:1437238748
Name:WILLIAM L HIGH MD PA
Entity Type:Organization
Organization Name:WILLIAM L HIGH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-833-0093
Mailing Address - Street 1:2910 FANNIN ST
Mailing Address - Street 2:STE B
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3901
Mailing Address - Country:US
Mailing Address - Phone:409-833-0093
Mailing Address - Fax:409-833-7118
Practice Address - Street 1:2910 FANNIN ST
Practice Address - Street 2:STE B
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3901
Practice Address - Country:US
Practice Address - Phone:409-833-0093
Practice Address - Fax:409-833-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF27082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B75977Medicare UPIN
00186ZMedicare PIN