Individual
DANIELA HAGENASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
(903) 535-6884
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
(903) 535-6884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T2386
TX
Other
Enumeration date
04/10/2018
Last updated
08/03/2021
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