Provider Demographics
NPI:1942344700
Name:CULVER, WILLIAM RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RAY
Last Name:CULVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 ROCK ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3357
Mailing Address - Country:US
Mailing Address - Phone:830-620-7422
Mailing Address - Fax:830-625-7240
Practice Address - Street 1:881 ROCK ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3357
Practice Address - Country:US
Practice Address - Phone:830-620-7422
Practice Address - Fax:830-625-7240
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4226208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO84761FSMedicaid
TXPO84761FSMedicaid
A2021DMedicare UPIN