Provider Demographics
NPI:1336951391
Name:SEYMORE, WILLIAM DAVID (RPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:SEYMORE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 LOY LAKE RD APT 9206
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-0072
Mailing Address - Country:US
Mailing Address - Phone:940-733-0017
Mailing Address - Fax:
Practice Address - Street 1:2910 W FM 120
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3586
Practice Address - Country:US
Practice Address - Phone:903-464-9502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist