Provider Demographics
NPI:1750919171
Name:CATES, WILLIAM THOMAS
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:THOMAS
Last Name:CATES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 W 7TH ST APT 308
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2804
Mailing Address - Country:US
Mailing Address - Phone:832-492-4071
Mailing Address - Fax:
Practice Address - Street 1:3248 W 7TH ST APT 308
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-2804
Practice Address - Country:US
Practice Address - Phone:832-492-4071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program