Individual
DR. DANIEL E. GRAVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13737 NOEL RD, STE 1400, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192265002
—
TX
05
—
192265003
—
TX
01
—
8BR514
BCBS
TX
Enumeration date
02/26/2007
Last updated
06/15/2018
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