Wendell D. Daniels M.D., P.A.
Internal Medicine in Longview, TX. Organization (NPI-2).
NPI number1730453051
StatusActive
Last updated in NPPESMar 5, 2012
Details
- NPI
- 1730453051
- Entity type
- Organization (NPI-2)
- Legal business name
- Wendell D. Daniels M.D., P.A.
- Organization subpart
- Yes
- Enumeration date
- Mar 5, 2012
- Last updated
- Mar 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | E6058 | TX | Yes |
Practice location
515 N. 3rd St.Longview, TX 75606
Phone 903-757-7377
Mailing address
P.O. Box 3406515 N. Third St.
Longview, TX 75606
Authorized official
Wendell David Daniels
President
9037577377
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