Individual
DR. MARK ANTHONY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 12TH AVE STE 100, FORT WORTH, TX 76104
(817) 810-0770
(817) 820-0242
Mailing address
800 12TH AVE STE 100, FORT WORTH, TX 76104-2519
(178) 810-0770
(817) 820-0242
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2016-00232
NC
Other
Enumeration date
04/24/2010
Last updated
06/09/2022
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