Provider Demographics
NPI:1922011972
Name:MCCOY, WILLIAM DOUGLASS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DOUGLASS
Last Name:MCCOY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5600 BABCOCK RD
Mailing Address - Street 2:APT 12201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:STVHCS/ALMD/112A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5105
Practice Address - Fax:210-949-3311
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical