Wendell D. Daniels M.D., P.A.

LBN: Wendell D. Daniels M.D., P.A.
Wendell D. Daniels M.D., P.A. is an health care organization with primary practice located at 515 N. 3Rd St. , Longview TX 75606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wendell D. Daniels M.D., P.A. can be contacted via phone (903) 757-7377, or through Daniels, Wendell David via phone (903) 757-7377.

Contact Information

Primary practice address
515 N. 3Rd St. Longview TX 75606
Phone: (903) 757-7377
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Wendell David Doctor of Medicine (MD)
Phone: (903) 757-7377

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6058 Texas

Profile Details

NPI number 1730453051
LBN Legal business name Wendell D. Daniels M.D., P.A.
DBA Doing business as
Authorized official Daniels, Wendell David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 5th, 2012
Last updated Mar 5th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730453051 NPPES
Texas MEDICAID 0990236-01

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