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Individual

DANIEL W ZIEGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 W. MAGNOLIA AVENUE, SUITE 200, FORT WORTH, TX 76104-4611
(817) 882-1193
(817) 870-1602
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 870-1602

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G0929
TX
2086S0102X
Surgical Critical Care Physician
Primary
G0929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123905505
TX
05
123905506
TX
01
P00292546
RAILROAD MEDICARE
Enumeration date
07/17/2006
Last updated
12/08/2017
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