Organization
DANIEL A. DEANE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A DEANE MD (OWNER)
(210) 614-4448
Entity
Organization
Contact information
Practice address
7922 EWING HALSELL DR, STE 260, SAN ANTONIO, TX 78229-3786
(210) 614-4448
(210) 579-2179
Mailing address
7922 EWING HALSELL DR, STE 260, SAN ANTONIO, TX 78229-3786
(210) 614-4448
(210) 579-2179
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
K9253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039WN
BCBS OF TX
TX
05
—
124617507
—
TX
Enumeration date
05/02/2011
Last updated
04/12/2012
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