Individual
DR. DANIEL POLANCO
Active
Individual
DR. DANIEL POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L2557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459836-02
—
TX
05
—
145983603
—
TX
01
—
8707B9
MEDICARE
TX
01
—
TXB154608
WELLMED PTAN
TX
Enumeration date
07/01/2005
Last updated
10/15/2015
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