Individual
DR. DAN FREDERICK MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-6796
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-6796
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F6897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040006014
RAILROAD GBA - RAILROAD MEDICARE
TX
05
—
119168603
—
TX
05
—
119168606
—
TX
01
—
887915
BC/BS TX#
TX
01
—
8DE536
BC/BS #
TX
01
—
MDF6897TX
WORKERS COMPENSATION
TX
01
—
P01090504
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/12/2006
Last updated
12/05/2012
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