Provider Demographics
NPI:1518573765
Name:WILLIAM COOPER BUSCHEMEYER III, M.D. P.A.
Entity Type:Organization
Organization Name:WILLIAM COOPER BUSCHEMEYER III, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR, P.A.
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:BUSCHMEYER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:281-612-3574
Mailing Address - Street 1:26620 INTERSTATE 45-NORTH
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77386
Mailing Address - Country:US
Mailing Address - Phone:281-612-3574
Mailing Address - Fax:281-631-3063
Practice Address - Street 1:26620 INTERSTATE 45-NORTH
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-612-3574
Practice Address - Fax:281-631-3063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STONE RELIEF CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty