Provider Information for 1841894813
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MARTIN DEAN DANNER
Sex: Male
NPI: 1841894813
Last Updated: 2020-11-30
Certification Date: 2020-09-24
Certification Date: 2020-09-24
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841894813 | ||||||||||||
| Enumeration Date | 2020-11-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 260 STILL HOLLOW CRK BUDA, TX 78610-3068 United States Phone: 817-372-0335 | Fax: | ||||||||||||
| Primary Practice Address | 112 CIMARRON PARK LOOP STE B BUDA, TX 78610-2850 United States Phone: 817-372-0335 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|