Wendell D Daniels (NPI# 1104934215, PAC ID# 1951577733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104934215 |
| PAC ID by PECOS | 1951577733 |
| Professional Enrollment ID | I20111228000426 |
| Full Name | Wendell D Daniels |
| Address |
515 N 3rd St Po Box 3406 Longview TX 75606-3406 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 515 N 3rd St, Po Box 3406, Longview, TX 75606-3406 |
| Street Address |
515 N 3RD ST PO BOX 3406 |
| City | LONGVIEW |
| State | TX |
| Zip | 75606-3406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joellen M Hoth | Family Practice | 515 N 3rd St, Burlington, IA 52601-5227 |
| City | LONGVIEW |
| Zip Code | 75606 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LONGVIEW + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wendell D Daniels.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.