Individual
MR. CARL VICTOR DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6565 FANNIN ST, MARY GIBBS, J. 11TH FLOOR NP OFFICE, HOUSTON, TX 77030-2703
(281) 416-4179
Mailing address
6565 FANNIN ST, MARY GIBBS, J. 11TH FLOOR NP OFFICE, HOUSTON, TX 77030-2703
(281) 416-4179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
728443
TX
363LF0000X
Family Nurse Practitioner
RN087962-AP04144
LA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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