Individual
DANIEL OPENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
697 LOUISIANA DR, DYESS AFB, TX 79607-1367
(325) 696-5490
(325) 696-3320
Mailing address
697 LOUISIANA DR, DYESS AFB, TX 79607-1367
(325) 696-5490
(325) 696-3320
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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