Provider Demographics
NPI:1366437113
Name:PINKLEY, WILLIAM H (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:PINKLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-0996
Practice Address - Street 1:4617 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1742
Practice Address - Country:US
Practice Address - Phone:361-857-2872
Practice Address - Fax:361-857-2946
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2017-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH0727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092025803Medicaid
TX092025803Medicaid
BP0539998OtherDEA
C20533Medicare UPIN
00QE30Medicare ID - Type Unspecified