Secor, John William

Secor, John William is an individual health care provider with primary practice located at 8220 Walnut Hill Ln Ste 710 , Dallas TX 75231-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Secor, John William can be contacted via phone (214) 368-6707.

Contact Information

Primary practice address
8220 Walnut Hill Ln Ste 710 Dallas TX 75231-4427
Fax: (214) 368-1804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X F4504 Texas

Profile Details

NPI number 1568421014
LBN Legal business name Secor, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 23rd, 2020 - about 4 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 1568421014 NPPES
Texas MEDICAID 125112602
Texas Other 83Y777

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