Individual
DR. DANIEL ENOCH WANDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2504 RIDGE RD, SUITE #202, ROCKWALL, TX 75087-2569
(469) 267-6814
(972) 722-4816
Mailing address
2504 RIDGE RD, SUITE #202, ROCKWALL, TX 75087-2569
(469) 267-6814
(972) 722-4816
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
N9327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340494903
—
TX
05
—
340494904
—
TX
Enumeration date
04/20/2007
Last updated
02/07/2018
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