# WALTER H. DANIELS, M.D. A PROFESSIONAL MEDICAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659600989
- **Authorized official:** DR. WALTER H DANIELS (PRESIDENT)
- **Authorized official phone:** (985) 385-2710

## Contact information

- **Practice address:** 1300 LAKEWOOD DRIVE, SUITE G, MORGAN CITY, LA 70380
- **Practice address phone:** (985) 385-2710
- **Practice address fax:** (985) 384-8217
- **Mailing address:** P.O. BOX 3615, MORGAN CITY, LA 70381
- **Mailing address phone:** (985) 385-2710
- **Mailing address fax:** (985) 384-8217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 12/16/2009