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Organization
WENDELL D. DANIELS M.D., P.A.
Active
Organization
WENDELL D. DANIELS M.D., P.A.
Active
Parent organization
WENDELL D. DANIELS M.D., P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WENDELL D. DANIELS M.D., P.A.
Authorized official
WENDELL DAVID DANIELS M.D. (PRESIDENT)
(903) 757-7377
Entity
Organization
Contact information
Practice address
515 N. 3RD ST., LONGVIEW, TX 75606
(903) 757-7377
Mailing address
P.O. BOX 3406, 515 N. THIRD ST., LONGVIEW, TX 75606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990236-01
—
TX
Enumeration date
03/05/2012
Last updated
03/05/2012
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