Individual
DANIEL LIAM HABENICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST STE JJL 310, HOUSTON, TX 77030-1501
(713) 500-5154
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-4535
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
TX
Other
Enumeration date
04/05/2023
Last updated
05/18/2024
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