Individual
DANIEL MELE MONCILOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13601 PRESTON RD, STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
634671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109723010
—
TX
05
—
145378901
—
TX
01
—
8701UU
BCBS
TX
Enumeration date
06/15/2006
Last updated
04/20/2011
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