Provider Demographics
NPI:1447260658
Name:SCHUESSLER, WILLIAM WILSON (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WILSON
Last Name:SCHUESSLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:215 E QUINCY ST STE 314
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-2033
Mailing Address - Country:US
Mailing Address - Phone:210-299-8032
Mailing Address - Fax:210-299-8097
Practice Address - Street 1:4243 E SOUTHCROSS BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3727
Practice Address - Country:US
Practice Address - Phone:210-333-9010
Practice Address - Fax:210-337-2104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2012-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD4300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099607602Medicaid
TXB26274Medicare UPIN
TX099607602Medicaid