Individual
MR. BRYAN K DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 W LAMPASAS ST, ENNIS, TX 75119-5644
(972) 875-0900
Mailing address
3004 TROON RD, ENNIS, TX 75119-7267
(972) 875-2266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
598247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383673
ANTHEM BCBS KY
KY
05
—
109961605
—
TX
05
—
74003617
—
KY
01
—
C20338
CUMBERLAND HEALTHCARE
KY
Enumeration date
05/20/2006
Last updated
02/10/2010
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