Provider Demographics
NPI:1891784492
Name:CAIRE, WILLIAM J (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:CAIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1410 E RENNER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2227
Mailing Address - Country:US
Mailing Address - Phone:972-234-3311
Mailing Address - Fax:972-669-8072
Practice Address - Street 1:1410 E RENNER RD STE 201
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2227
Practice Address - Country:US
Practice Address - Phone:972-234-3311
Practice Address - Fax:972-669-8072
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5473207V00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1006769-06Medicaid
TX8BN467OtherBCBS
TX8L2395Medicare PIN
TX8BN467OtherBCBS
G83188Medicare UPIN
TX8K8888Medicare PIN
TX1006769-06Medicaid