Provider Demographics
NPI:1578541702
Name:CURTIS, WILLIAM GLENDON II (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GLENDON
Last Name:CURTIS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:G
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:3945 IH 69 ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4531
Mailing Address - Country:US
Mailing Address - Phone:361-767-8332
Mailing Address - Fax:361-767-1465
Practice Address - Street 1:3945 US HWY 77
Practice Address - Street 2:CORPUS CHRISTI
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4531
Practice Address - Country:US
Practice Address - Phone:361-767-8332
Practice Address - Fax:361-767-1465
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1013207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159437601Medicaid
TXL1013OtherTEXAS STATE LICENSE
TX159437601Medicaid
TXH30919Medicare UPIN