Provider Demographics
NPI:1013935188
Name:DAVITT, WILLIAM FRANCIS III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:DAVITT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3101 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4943
Mailing Address - Country:US
Mailing Address - Phone:915-564-4988
Mailing Address - Fax:915-757-3946
Practice Address - Street 1:8815 DYER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-2000
Practice Address - Country:US
Practice Address - Phone:915-757-3937
Practice Address - Fax:915-757-3946
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXK1410207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127340106Medicaid
TX127340106Medicaid
TXC94836Medicare UPIN
TX127340106Medicaid