Individual
MR. DANIEL DUTRA MORAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1401 N SAGINAW BLVD, SAGINAW, TX 76179-5096
(817) 306-9400
(817) 232-0473
Mailing address
6126 GREEN JACKET DR APT 1035, FORT WORTH, TX 76137-6868
(817) 306-9400
(817) 232-0473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6655T
TX
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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