Individual
DANIEL WANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Mailing address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102785
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
839913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839913
LICENSE
TX
Enumeration date
07/02/2013
Last updated
03/20/2014
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