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

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E6058 Issued in TX

Legal business name

WENDELL D. DANIELS M.D., P.A.

Practice address

515 N. 3Rd St.
Longview, TX 75606

Phone

(903) 757-7377

NPI assigned

Mar 5, 2012

Organization subpart

Yes

Parent organization

WENDELL D. DANIELS M.D., P.A.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wendell David Daniels, M.D.

Title

President

Phone

(903) 757-7377

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Wendell D Daniels MD

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1730453051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3406",
            "address_2": "515 N. THIRD ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N. 3RD ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75606",
            "telephone_number": "903-757-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDELL D. DANIELS M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENDELL D. DANIELS M.D., P.A.",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-757-7377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E6058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990236-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanislav Weiner, MD
• Carol Elizabeth Welborn, SLP
• Laura J Welch, MD
• Shaan Noonan Novak Welch
• Doug Wells, LPC
• Sharon Elizabeth Werth, FNP
• Lisa Michelle Wertz, FNP-BC
• Ann Richelle Wessman
• Roxanna Jean West, LPC
• Billy B Westbrook, D.P.M.

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.