Individual
JOSEPH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6311 SOUTHWEST BLVD, FORT WORTH, TX 76132-1063
(817) 731-9400
(817) 731-4282
Mailing address
6311 SOUTHWEST BLVD, BENBROOK, TX 76132-1063
(817) 731-9400
(817) 731-4282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H4822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078NR
BCBS GROUP#
TX
01
—
10028628
AMERIGROUP MEDICAID
—
05
—
11455304 301
—
TX
05
—
114855305
—
TX
01
—
3108265
AETNA
—
01
—
360057000
DEPARTMENT OF LABOR
—
01
—
364523608
TRICARE
—
01
—
8V9721
BCBS INDIVIDUAL
—
01
—
900057614
MEDICARE RR
—
Enumeration date
05/31/2006
Last updated
02/15/2017
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