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Individual

DR. DANNY CARLTON LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
E-5267
AR
2086S0120X
Pediatric Surgery Physician
L1647
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165049001
AR
Enumeration date
03/09/2007
Last updated
10/02/2020
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