Individual
DR. DANIEL JOSEPH LADD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 JEFFERSON ST STE 200, STE 308, AUSTIN, TX 78731-6200
(512) 451-0139
(512) 323-5880
Mailing address
3500 JEFFERSON ST STE 200, STE 308, AUSTIN, TX 78731-6200
(512) 451-0139
(512) 323-5880
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
L1102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB108299
MEDICARE PTAN
TX
Enumeration date
05/24/2005
Last updated
02/23/2015
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