Provider Demographics
NPI:1316239726
Name:CAVENDER, WILLIAM (ATP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:CAVENDER
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 ANDREWS HWY STE E
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-3881
Mailing Address - Country:US
Mailing Address - Phone:432-570-5079
Mailing Address - Fax:432-687-4290
Practice Address - Street 1:1020 ANDREWS HWY STE E
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3811
Practice Address - Country:US
Practice Address - Phone:432-570-5079
Practice Address - Fax:432-687-4290
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other