Provider Demographics
NPI:1669441606
Name:GARRETT, WILLIAM EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:GARRETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6750 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 830
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-751-0631
Mailing Address - Fax:713-751-0605
Practice Address - Street 1:6750 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 830
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:281-620-2133
Practice Address - Fax:713-751-0605
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE7941207P00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122248127Medicaid
TX122248127Medicaid
TXB58987Medicare UPIN