Provider Demographics
NPI:1902080484
Name:POSLIGUA, WILLIAM ENRIQUE (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ENRIQUE
Last Name:POSLIGUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 W. WHEATLAND ROAD
Mailing Address - Street 2:BUILDING I SUITE 202
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-7007
Mailing Address - Country:US
Mailing Address - Phone:972-283-1800
Mailing Address - Fax:972-283-1801
Practice Address - Street 1:3430 W. WHEATLAND ROAD
Practice Address - Street 2:BUILDING I SUITE 202
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237
Practice Address - Country:US
Practice Address - Phone:972-283-1800
Practice Address - Fax:972-283-1801
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0275207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX404732ZBM7Medicare PIN