Provider Demographics
NPI:1871837377
Name:NORBURY, WILLIAM BENEDICT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BENEDICT
Last Name:NORBURY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:815 MARKET ST
Mailing Address - Street 2:SHRINERS HOSPITALS FOR CHILDREN - GALVESTON
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-2725
Mailing Address - Country:US
Mailing Address - Phone:409-770-6731
Mailing Address - Fax:409-770-6919
Practice Address - Street 1:815 MARKET ST
Practice Address - Street 2:SHRINERS HOSPITALS FOR CHILDREN - GALVESTON
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-2725
Practice Address - Country:US
Practice Address - Phone:409-772-7230
Practice Address - Fax:409-772-6784
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2021-05-12
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Provider Licenses
StateLicense IDTaxonomies
TX453872086S0102X
TXBP100452812086S0102X
TXR4439208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345886101Medicaid