Individual
ALMA DANIELLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2606 HOSPITAL BLVD STE B, CORPUS CHRISTI, TX 78405-1804
(361) 902-4789
(361) 902-4588
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R4432
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R4432
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L5017
MEDICARE
TX
05
—
378685701
—
TX
05
—
378685702
—
TX
01
—
P02601815
MCRR
TX
Enumeration date
04/03/2013
Last updated
04/09/2021
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