Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | BP10037633 | TX |
Y | 111NI0900X | Internist | BP10037633 | TX |
NPI | 1003129487 |
---|---|
Provider Name | William Cook Langmade |
First Address | Dallas, TX 75203-1201 |
Second Address | Dallas, TX 75203-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 14/07/2010 |