Individual
DR. DANILO L CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3502 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7671
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E3458
AR
207R00000X
Internal Medicine Physician
Primary
Q3351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149548001
—
AR
01
—
5M472
AR BCBS
AR
01
—
8EZ607
BCBS
TX
Enumeration date
07/15/2006
Last updated
04/09/2015
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