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4520 E Central Texas Expy Suite 111 Killeen TX 76543-5626 | |
| (254) 699-7222 | |
| (512) 556-2188 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 4520 E Central Texas Expy, Killeen, Texas |
| Authorized Official Name and Position | Willaim Walter Cofield (PSYCHOLOGIST) |
| Authorized Official Contact | 2546997222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 938 Killeen TX 76540 Ph: (254) 699-7222 | 4520 E Central Texas Expy Suite 111 Killeen TX 76543-5626 Ph: (254) 699-7222 |
| NPI Number | 1932184389 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 03/07/2012 |
| Medicare PECOS PAC ID | 9739371832 |
|---|---|
| Medicare Enrollment ID | O20101007000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932184389 | NPI | - | NPPES |
| 66198 | Other | TX | TEXAS DEPT OF HEALTH CSHC |
| 00U51U | Other | TX | BCBS OF TEXAS |
| 085678301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 24153 (Texas) | Primary |
| Provider Name | William W Cofield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144260134 PECOS PAC ID: 7719179811 Enrollment ID: I20110512000763 |
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