Provider Demographics
NPI:1386761898
Name:ESTES, WILLIAM PAUL JR (MOTRL)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:PAUL
Last Name:ESTES
Suffix:JR
Gender:M
Credentials:MOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4100 COUNTY ROAD 290
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:79095-5019
Mailing Address - Country:US
Mailing Address - Phone:580-675-2407
Mailing Address - Fax:580-675-2408
Practice Address - Street 1:4100 COUNTY ROAD 290
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:TX
Practice Address - Zip Code:79095-5019
Practice Address - Country:US
Practice Address - Phone:580-675-2407
Practice Address - Fax:580-675-2408
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1343225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist