Individual
DR. DANIEL LEE PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
208 W KEARNEY ST, SUITE 102, MESQUITE, TX 75149-3476
(972) 629-9181
(972) 629-9138
Mailing address
PO BOX 852604, MESQUITE, TX 75185-2604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11401
DOCTOR OF CHIROPRACTIC
TX
Enumeration date
09/23/2010
Last updated
01/12/2014
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