Laird, William Pennock

Laird, William Pennock is an individual health care provider with primary practice located at 7777 Forest Lane C855 , Dallas TX 75230-2561. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Laird, William Pennock can be contacted via phone (972) 331-9700.

Contact Information

Primary practice address
7777 Forest Lane C855 Dallas TX 75230-2561
Phone: (972) 331-9700
Fax: (972) 331-9833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E1645 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X E1645 Texas

Profile Details

NPI number 1790773513
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 May 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790773513 NPPES
Texas MEDICAID 157503701

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