Individual
DAN VAISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SETON PKWY, SUITE 302, ROUND ROCK, TX 78665-8002
(512) 324-4812
(512) 324-4728
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M0332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172467602
—
TX
05
—
172467603
—
TX
05
—
172467604
—
TX
05
—
172467605
—
TX
01
—
8CY383
BCBS
TX
01
—
8ET723
BCBS
TX
Enumeration date
03/14/2006
Last updated
12/22/2014
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