Provider Demographics
NPI:1134153497
Name:ADAMS, WILLIAM PETER JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PETER
Last Name:ADAMS
Suffix:JR
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 1:6901 SNIDER PLZ
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5648
Mailing Address - Country:US
Mailing Address - Phone:214-965-9885
Mailing Address - Fax:214-965-9180
Practice Address - Street 1:6901 SNIDER PLZ
Practice Address - Street 2:SUITE 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5648
Practice Address - Country:US
Practice Address - Phone:214-965-9885
Practice Address - Fax:214-965-9180
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5134174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1804Medicare ID - Type Unspecified
TXG02655Medicare UPIN