Provider Demographics
NPI:1194757765
Name:VOTA, WILLIAM (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:VOTA
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 1:1264 TAMU
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77843-1264
Mailing Address - Country:US
Mailing Address - Phone:979-458-8300
Mailing Address - Fax:979-458-8319
Practice Address - Street 1:1264 TAMU
Practice Address - Street 2:TEXAS A&M UNIVERSITY - STUDENT HEALTH SERVICES
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77843-1264
Practice Address - Country:US
Practice Address - Phone:979-458-8300
Practice Address - Fax:979-458-8319
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4288207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030102004Medicaid
TXP00150509Medicare PIN
TX8C0332Medicare PIN
TXG56829Medicare UPIN