Individual
DANIEL S DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
(817) 702-6839
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 659-0180
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
N1618
TX
207RP1001X
Pulmonary Disease Physician
41618
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578-855-9
ECFMG
TX
Enumeration date
01/06/2009
Last updated
03/14/2022
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