Laird, William Pennock
Laird, William Pennock is an individual health care provider with primary practice located at 12201 Merit Dr Ste 550 , Dallas TX 75251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Laird, William Pennock can be contacted via phone (972) 331-9700.Contact Information
Primary practice address
12201 Merit Dr Ste 550
Dallas TX 75251
Phone: (972) 331-9700
Fax: (972) 331-9833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | K3599 | Texas |
Profile Details
| NPI number | 1306834023 |
|---|---|
| LBN Legal business name | Laird, William Pennock |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 29th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306834023 | NPPES |
| Texas | MEDICAID | 157506003 |
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