Basic Information
| Provider Information | |||||||||
| NPI: | 1679544308 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGARVEY | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23920 KATY FREEWAY | ||||||||
| Address2: | STE 160 | ||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813926797 | ||||||||
| FaxNumber: | 2813923666 | ||||||||
| Practice Location | |||||||||
| Address1: | 23920 KATY FREEWAY | ||||||||
| Address2: | STE 160 | ||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813926797 | ||||||||
| FaxNumber: | 2813923666 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0004X | J0783 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Foot and Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 81Z186 | 01 | TX | BCBS | OTHER |