Basic Information
| Provider Information | |||||||||
| NPI: | 1194025064 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WILLIAM L SUTKER, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9603 WHITE ROCK TRAIL | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752385039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726448577 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2929 CARLISLE | ||||||||
| Address2: | SUITE 260 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752044068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143031033 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2010 | ||||||||
| LastUpdateDate: | 10/26/2010 | ||||||||
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| AuthorizedOfficialLastName: | SUTKER | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2143031033 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.