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Individual

DR. DANIEL A DEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
339 ELIZABETH RD, SAN ANTONIO, TX 78209-5960
(210) 618-9186
(210) 579-2179
Mailing address
339 ELIZABETH RD, SAN ANTONIO, TX 78209-5960
(210) 618-9186
(210) 579-2179

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
K9253
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124617506
TEXAS PROVIDER IDENTIFIER SPECIAL NEEDS
TX
05
124617507
TX
05
2619956
OH
Enumeration date
04/13/2006
Last updated
06/03/2014
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