Wandrey, Daniel Enoch

Wandrey, Daniel Enoch is an sole proprietor health care provider with primary practice located at 2504 Ridge Rd Suite #202, Rockwall TX 75087-2569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wandrey, Daniel Enoch can be contacted via phone (469) 267-6814.

Contact Information

Primary practice address
2504 Ridge Rd Suite #202 Rockwall TX 75087-2569
Phone: (469) 267-6814
Fax: (972) 722-4816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X N9327 Texas

Profile Details

NPI number 1790903359
LBN Legal business name Wandrey, Daniel Enoch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Feb 7th, 2018 - about 7 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 1790903359 NPPES
Texas MEDICAID 340494903
Texas MEDICAID 340494904

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