Individual
DANIEL THOMAS HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1401 MEDICAL PKWY STE 220, CEDAR PARK, TX 78613-5013
(512) 260-1581
(512) 406-7309
Mailing address
6210 E HIGHWAY 290 STE 420, AUSTIN, TX 78723-1142
(512) 483-9569
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1819
TX STATE LIC
TX
05
—
380367801
—
TX
05
—
380367802
—
TX
01
—
751704354
TAX ID
TX
Enumeration date
05/11/2007
Last updated
03/12/2020
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