Clive G Daniels MD

NPI 1003998865 - Pediatrics - 208000000X

NPI Details
NPI 1003998865
Gender Male
Enumeration Date 10/20/2006
Last Updated 04/21/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
701 MATLOCK RD
MANSFIELD TX, 76063-9164, US
Phone (817) 453-5437
Fax (817) 453-2714
Business Location
PO BOX 99371
FORT WORTH TX, 76199-0371, US
Phone (682) 885-1855
Fax (682) 885-7347
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number L8662
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According to our database, Clive G Daniels MD NPI is 1003998865, taxonomy code is 208000000X and license number is L8662, license state is located at Texas. Clive G Daniels MD physically located at 701 Matlock Rd, Mansfield TX, 76063-9164. NPI Number Clive G Daniels MD has the Individual type.

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1003998865 NPI number is provided on an as is basis without warranty of any kind. 1003998865 is maintained by the National Plan & Provider Enumeration System. The contents of Clive G Daniels MD are for informational purposes only.