| Wendell D. Daniels M.d., P.a. | |
|
515 N. 3rd St. Longview TX 75606 | |
| (903) 757-7377 | |
| Not Available |
| Full Name | Wendell D. Daniels M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 N. 3rd St., Longview, Texas |
| Authorized Official Name and Position | Wendell David Daniels (PRESIDENT) |
| Authorized Official Contact | 9037577377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell D. Daniels M.d., P.a. P.o. Box 3406 515 N. Third St. Longview TX 75606 Ph: () - | Wendell D. Daniels M.d., P.a. 515 N. 3rd St. Longview TX 75606 Ph: (903) 757-7377 |
| NPI Number | 1730453051 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730453051 | NPI | - | NPPES |
| 0990236-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E6058 (Texas) | Primary |
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