Individual
PETER SHANE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4000
Mailing address
1215 LEE ST # 800699, CHARLOTTESVILLE, VA 22908-0816
(434) 924-8485
(434) 982-4118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T6866
TX
Other
Enumeration date
04/15/2019
Last updated
09/15/2022
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