Basic Information
Provider Information
NPI: 1366403685
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESLER
FirstName: WILLIAM
MiddleName: VANCE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9724379605
Practice Location
Address1: 1000 S COULTER ST
Address2: SUITE 100
City: AMARILLO
State: TX
PostalCode: 791061781
CountryCode: US
TelephoneNumber: 8063588654
FaxNumber: 8063568687
Other Information
ProviderEnumerationDate: 03/28/2006
LastUpdateDate: 02/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XF1531TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


Home