Provider Demographics
NPI:1255442398
Name:WILLIAM F. PRICE, M.D., P.A.
Entity type:Organization
Organization Name:WILLIAM F. PRICE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-776-2249
Mailing Address - Street 1:2700 E 29TH ST
Mailing Address - Street 2:STE 300
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2531
Mailing Address - Country:US
Mailing Address - Phone:979-776-2249
Mailing Address - Fax:979-776-4232
Practice Address - Street 1:2700 E 29TH ST
Practice Address - Street 2:STE 300
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2531
Practice Address - Country:US
Practice Address - Phone:979-776-2249
Practice Address - Fax:979-776-4232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0039DDOtherBLUE CROSS PROVIDER NUMB
TX00278GMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER