Individual
GAYLE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2440 JACKSBORO HWY, FORT WORTH, TX 76114-2201
(817) 626-3721
(817) 626-2006
Mailing address
2440 JACKSBORO HWY, FORT WORTH, TX 76114-2201
(817) 626-3721
(817) 626-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5343T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019440901
—
TX
Enumeration date
08/11/2005
Last updated
08/09/2016
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