Provider Demographics
NPI:1053392506
Name:POLLAN, WILLIAM ANSON (DO, MPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ANSON
Last Name:POLLAN
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 E AUSTIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4170
Mailing Address - Country:US
Mailing Address - Phone:830-214-0902
Mailing Address - Fax:830-214-0620
Practice Address - Street 1:189 E AUSTIN ST STE 106
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4170
Practice Address - Country:US
Practice Address - Phone:830-214-0902
Practice Address - Fax:830-214-0620
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF57032083A0100X, 2083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice