Individual
DANIEL SHALEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5744 LYNDON B JOHNSON FWY, SUITE 175, DALLAS, TX 75240-6322
(972) 980-4400
(972) 980-0649
Mailing address
5744 LYNDON B JOHNSON FWY, SUITE 175, DALLAS, TX 75240-6322
(972) 980-4400
(972) 980-0649
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MDG7721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84020X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/01/2006
Last updated
11/08/2007
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