Individual
STEVIE ANN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0068
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 920-0068
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80594
TX
Other
Enumeration date
07/09/2013
Last updated
08/01/2014
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