Individual
MR. BRYANT DEWAYNE DANIELS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8035 E R L THORNTON FWY STE 518G, DALLAS, TX 75228-7063
(214) 607-2009
Mailing address
8035 E R L THORNTON FWY STE 518G, DALLAS, TX 75228-7063
(214) 607-2009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0106050
TX
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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