Individual
TERRY DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9417 BRODIE LN, AUSTIN, TX 78748-5602
(512) 610-9955
(512) 610-9977
Mailing address
9417 BRODIE LN, AUSTIN, TX 78748-5602
(512) 610-9955
(512) 610-9977
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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