Provider Demographics
NPI:1508804022
Name:CAPECE, WILLIAM J (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:CAPECE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:17490 HIGHWAY 3 STE B100
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4160
Mailing Address - Country:US
Mailing Address - Phone:281-554-9292
Mailing Address - Fax:281-554-9293
Practice Address - Street 1:17490 HIGHWAY 3 STE B100
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4160
Practice Address - Country:US
Practice Address - Phone:281-554-9292
Practice Address - Fax:281-554-9293
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2021-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX973213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112200402Medicaid
TX00DC69OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX00DC69OtherBLUE CROSS BLUE SHIELD OF TEXAS