Provider Demographics
NPI:1942447883
Name:BOK, WILLEM EDUARD III (MD)
Entity Type:Individual
Prefix:
First Name:WILLEM
Middle Name:EDUARD
Last Name:BOK
Suffix:III
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3705 MEDICAL PKWY STE 570
Mailing Address - Street 2:CAPITOL ANESTHESIOLOGY ASSOCIATION
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1024
Mailing Address - Country:US
Mailing Address - Phone:512-583-2718
Mailing Address - Fax:
Practice Address - Street 1:3705 MEDICAL PKWY STE 570
Practice Address - Street 2:CAPITOL ANESTHESIOLOGY ASSOCIATION
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1024
Practice Address - Country:US
Practice Address - Phone:512-583-2718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC52170207L00000X
TXP1968207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology