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Dr. William Todd Bohannon, MD
Vascular Surgery Physician in Temple, Texas
NPI 1023077864

William Todd Bohannon is a Vascular Surgery Physician based in Dallas, TX and is specialized in Vascular Surgery. William Todd Bohannon practices in Temple, TX and has the professional credentials of MD. The NPI Number for William Todd Bohannon is 1023077864 and holds a License No. J8466 (Texas).

The current practice location address for William Todd Bohannon is 2401 S 31St St, Temple, TX and can be reached out via phone at 254-724-2111.

Location: 2401 S 31St St, Temple, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023077864
Provider Name
William Todd Bohannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St, Temple, TX, 75284-4658
Phone Number
254-724-2111
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454878-05 05 TX
P00184720 01 TX RR/MEDICARE
8R3601 01 TX BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
J8466 (Texas)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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