Doctor Name: | MR. WILLIAM B MCLENDON |
NPI Number: | 1376587477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14216 |
Business Practice Address: | 1323 S 27th St Suite 700 Nederland, TX - 776276294 |
Business Phone Number: | 4097295400 |
Business Fax Number: | |
Mailing Address: | Po Box 2469, INDIANAPOLIS |
State: | IN |
Postal Code: | 462062469 |
Phone Number: | 8009452455 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 14216 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |