Individual
DR. DANIEL L IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, JJL 495, HOUSTON, TX 77030-1501
(713) 500-5666
(713) 500-0527
Mailing address
6431 FANNIN ST, JJL 495, HOUSTON, TX 77030-1501
(713) 500-5666
(713) 500-0527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301078858
MI
208000000X
Pediatrics Physician
Primary
N6380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4609698
—
MI
Enumeration date
02/13/2006
Last updated
03/14/2012
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