Individual
BRIAN DEAN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2705 HOSPITAL DR, SUITE 400A, VICTORIA, TX 77901-5775
(361) 574-1888
(361) 574-1890
Mailing address
2705 HOSPITAL DR, SUITE 400A, VICTORIA, TX 77901-5775
(361) 574-1888
(361) 574-1890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J0099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135927502
—
UT
01
—
88621S
BLUE CROSS/SHIELD
TX
01
—
8BV701
BLUECROSS BLUESHIELD OF TEXAS
TX
Enumeration date
04/24/2006
Last updated
05/15/2009
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