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Individual

DANNY L PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
(903) 526-3118
Mailing address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
(903) 526-3118

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J6670
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126642106
TX
01
126642107
MEDICAID- CSCHN
TX
01
752616977027
TRICARE
TX
01
8G0389
BCBS OF TEXAS
TX
Enumeration date
12/04/2007
Last updated
02/19/2025
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