Individual
CASEY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 746-8567
Mailing address
145 DEERFIELD LAKE CIRCLE, LONGVIEW, TX 75605
(903) 746-8567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1045097
TX
363LP2300X
Primary Care Nurse Practitioner
1045097
TX
Other
Enumeration date
07/27/2021
Last updated
12/12/2023
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