Individual
DR. DANIEL KOPPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRMONT PKWY, PASADENA, TX 77504-2805
(713) 943-2267
(713) 943-8685
Mailing address
825 FAIRMONT PKWY, PASADENA, TX 77504-2805
(713) 943-2267
(713) 943-8685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H3691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143661-02
—
TX
Enumeration date
08/12/2006
Last updated
05/16/2012
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