Individual
DR. DAN C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20821 US HWY 281 NORTH, SUITE 122, SAN ANTONIO, TX 78258-7595
(210) 546-1600
(210) 546-1610
Mailing address
2961 MOSSROCK, SAN ANTONIO, TX 78230-5119
(210) 731-4800
(210) 731-4810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186100001
DMERC
TX
01
—
121736100
SOUTHWEST LIFE & HEALTH
TX
05
—
125572103
—
TX
01
—
80062108
RAILROAD MEDICARE
TX
01
—
84V313
BCBS
TX
01
—
J3370
WORKERS COMPENSATION
TX
Enumeration date
07/26/2006
Last updated
02/06/2015
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