Provider Demographics
NPI:1699074351
Name:ARMSTRONG, WILLIAM RIDDICK III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RIDDICK
Last Name:ARMSTRONG
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 OLYMPIC PLAZA CIR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1951
Mailing Address - Country:US
Mailing Address - Phone:903-262-3900
Mailing Address - Fax:903-262-3900
Practice Address - Street 1:700 OLYMPIC PLAZA CIR
Practice Address - Street 2:SUITE 700
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1951
Practice Address - Country:US
Practice Address - Phone:903-262-3900
Practice Address - Fax:903-262-3900
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2016-10-19
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Provider Licenses
StateLicense IDTaxonomies
TXQ9779208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GE895OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX530612ZRYKMedicare PIN