Individual
DR. DANIEL JOHN O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8050 E HIGHWAY 191, SUITE 200, ODESSA, TX 79765-8607
(432) 337-5411
(432) 337-0301
Mailing address
8050 E HIGHWAY 191, SUITE 200, ODESSA, TX 79765-8607
(432) 337-5411
(432) 337-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F8595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100218103
FIRST CARE NETWORK
TX
05
—
159281801
—
TX
01
—
8H9552
BLUE CROSS BLUE SHIELD
TX
01
—
P00024659
RAILROAD MEDICARE
TX
Enumeration date
11/21/2006
Last updated
10/05/2010
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