Provider Demographics
NPI:1902913932
Name:VOELTER, WILLIAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:VOELTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:WAYNE
Other - Last Name:VOELTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3190 ANTILLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5015
Mailing Address - Country:US
Mailing Address - Phone:325-672-5603
Mailing Address - Fax:325-672-5603
Practice Address - Street 1:3190 ANTILLEY ROAD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5015
Practice Address - Country:US
Practice Address - Phone:325-672-5603
Practice Address - Fax:325-672-5603
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4344207N00000X
WI43087207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AR521OtherBLUE CROSS BLUE SHIELD OF TEXAS
WI1902913932Medicaid
WI1902913932Medicaid
B27354Medicare UPIN
WIK400279842Medicare PIN
AV5233197OtherDEA NUMBER
TX8AR521OtherBLUE CROSS BLUE SHIELD OF TEXAS