Provider Demographics
NPI:1013984038
Name:SEVENING, WILLIAM B (ATC,LAT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:B
Last Name:SEVENING
Suffix:
Gender:M
Credentials:ATC,LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22318 ROAN FRST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2710
Mailing Address - Country:US
Mailing Address - Phone:210-444-5745
Mailing Address - Fax:210-444-5857
Practice Address - Street 1:1 SPURS LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1634
Practice Address - Country:US
Practice Address - Phone:210-260-0864
Practice Address - Fax:210-444-5857
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT2007207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine