Most Relevant Information
Provider Data
| NPI Number: | 1003068818 |
| Provider Name: | WILLIAM ALLEN MICHAEL RNFA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WR0006X |
| Specialty: | Registered Nurse |
| License Number: | 681574 |
Most Important Dates
| Enumeration Date: | 10/13/2008 |
| Last Updated: | 10/13/2008 |
Provider Practice Location
5420 KELL BLVD
WICHITA FALLS
TX
763101610
Practice Location Phone/Fax
| Phone: | 9406967559 |
| Fax: |
Provider Mailing Location
3217 MARTIN BLVD
WICHITA FALLS
TX
763082045
Provider Mailing Phone/Fax
| Phone: | 9402241622 |
| Fax: |