Organization
ROBERT C. MCDANIEL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN S. MCDANIEL (ADMINISTRATIVE SECRETARY)
(903) 248-0494
Entity
Organization
Contact information
Practice address
2101 W LOOP 281, LONGVIEW, TX 75604-2506
(903) 248-0494
(903) 248-9137
Mailing address
2101 W LOOP 281, LONGVIEW, TX 75604-2506
(903) 248-0494
(903) 248-9137
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
D-5133
TX
261QX0100X
Occupational Medicine Clinic/Center
D-5133
TX
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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