Organization
RONALD L DANIELS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON LANE DANIELS D.O. (PHYSICIAN)
(903) 763-2218
Entity
Organization
Contact information
Practice address
117 N WINNSBORO ST, QUITMAN, TX 75783-2144
(903) 763-2218
(903) 763-4308
Mailing address
PO BOX 895, QUITMAN, TX 75783-0895
(903) 763-2218
(903) 763-4308
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E3246
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115843802
—
TX
Enumeration date
08/07/2010
Last updated
09/23/2010
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