Wendell D. Daniels M.d., P.a.

NPI #1730453051 in Longview, Texas

Provider Information

NPI Number: 1730453051
Entity Type: Organization
Organization Name: Wendell D. Daniels M.d., P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: WENDELL D. DANIELS M.D., P.A.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 5, 2012
Last Updated: Mar 5, 2012

Practice Location

Address: 515 N. 3RD ST.
City: Longview
State: Texas
ZIP Code: 75606
Phone: (903) 757-7377

Authorized Official

Name: WENDELL DAVID DANIELS, M.D.
Title: PRESIDENT
Phone: (903) 757-7377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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