Individual
DR. DANIEL LAIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115368605
—
TX
05
—
115368606
—
TX
05
—
115368607
—
TX
05
—
115368608
—
TX
01
—
8BW922
BCBC
TX
01
—
8EH521
BCBS TX
TX
Enumeration date
06/02/2005
Last updated
10/29/2015
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