Individual
DR. DANIELA NAZARET FARGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14530 NW MILITARY HWY, SHAVANO PARK, TX 78231-1622
(210) 450-6220
Mailing address
14530 NW MILITARY HWY, SHAVANO PARK, TX 78231-1622
(210) 450-6220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
V8986
TX
Other
Enumeration date
03/29/2022
Last updated
06/23/2025
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