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Individual

DANIEL J DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
K0020
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144513204
TX
01
8CM502
BCBS
TX
01
P00898231
RAILROAD MEDICARE
TX
01
TXB112462
MEDICARE
TX
Enumeration date
02/01/2006
Last updated
07/21/2022
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