Individual
DANIEL M ALTSTATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MILLER DR, BROWNWOOD, TX 76801-5947
(325) 643-2000
Mailing address
100 MILLER DR, BROWNWOOD, TX 76801-5947
(325) 643-2000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M3855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182776801
—
TX
01
—
8W1760
BLUE CROSS
TX
Enumeration date
07/03/2006
Last updated
09/17/2020
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