Secor, John William
Secor, John William is an individual health care provider with primary practice located at 8220 Walnut Hill Ln Ste 710 , Dallas TX 75231-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Secor, John William can be contacted via phone (214) 368-6707.Contact Information
Primary practice address
8220 Walnut Hill Ln Ste 710
Dallas TX 75231-4427
Phone: (214) 368-6707
Fax: (214) 368-1804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | F4504 | Texas |
Profile Details
| NPI number | 1568421014 |
|---|---|
| LBN Legal business name | Secor, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Sep 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568421014 | NPPES |
| Texas | MEDICAID | 125112602 | |
| Texas | Other | 83Y777 |
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