Individual
DR. DANIEL MICHAEL BRUDNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 S KENT ST, GORMAN, TX 76454-3060
(254) 734-4254
(254) 734-4355
Mailing address
115 S KENT ST, GORMAN, TX 76454-3060
(254) 734-4254
(254) 734-4355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041CW
BLUE CROSS
—
05
—
1365785-03
—
TX
Enumeration date
03/21/2006
Last updated
11/04/2025
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