Individual
DANNY UNDERWOOD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 592-8001
(903) 525-3858
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 592-8001
(903) 525-3858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
878310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
878310
REGISTERED NURSE
TX
Enumeration date
06/20/2019
Last updated
06/20/2019
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