Provider Demographics
NPI:1780872309
Name:WILLIAM A. PEPER, M.D., P.A.
Entity type:Organization
Organization Name:WILLIAM A. PEPER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-751-1700
Mailing Address - Street 1:PO BOX 23689
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76702-3689
Mailing Address - Country:US
Mailing Address - Phone:254-751-1700
Mailing Address - Fax:254-751-0700
Practice Address - Street 1:1000 W STATE HIGHWAY 6 STE 420
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712
Practice Address - Country:US
Practice Address - Phone:254-751-1700
Practice Address - Fax:254-751-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7043174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB43852OtherUPIN
TX0094MPOtherBCBS
TX173845201 GRPOtherTPI
TXF7043OtherTX LIC
TX173845201 GRPMedicaid
TX00983Y GRPMedicare PIN