Individual
DR. DANIEL R COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Mailing address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
(432) 697-7089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
390200000X
AR
2086S0127X
Trauma Surgery Physician
P5352
TX
2086S0129X
Vascular Surgery Physician
Primary
P5352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304433YT4F
MEDICARE
TX
05
—
324891601
—
TX
01
—
8DV506
BLUE CROSS
TX
Enumeration date
05/09/2007
Last updated
04/15/2015
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