Individual
JACULEEN ANN DANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W 38TH ST, SUITE 315, AUSTIN, TX 78731-6400
(512) 302-4047
(512) 419-9717
Mailing address
1600 W 38TH ST, SUITE 315, AUSTIN, TX 78731-6400
(512) 302-4047
(512) 419-9717
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J4761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051DR
BCBS ID
TX
Enumeration date
03/01/2007
Last updated
07/23/2014
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