Individual
DR. DANIEL EDWARD SUPKIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4704 MONTROSE BLVD, HOUSTON, TX 77006-6122
(713) 304-5353
Mailing address
303 TIMBER TERRACE RD, HOUSTON, TX 77024-5602
(713) 304-5353
(713) 669-1671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G3831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0151619
DPS
TX
Enumeration date
04/13/2007
Last updated
03/07/2023
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