Provider Demographics
NPI:1033299706
Name:SHROPSHIRE, DANIEL BRIAN (OD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRIAN
Last Name:SHROPSHIRE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4948 GULFSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-7632
Mailing Address - Country:US
Mailing Address - Phone:972-387-3937
Mailing Address - Fax:972-387-0606
Practice Address - Street 1:4948 GULFSTREAM DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-7632
Practice Address - Country:US
Practice Address - Phone:972-387-3937
Practice Address - Fax:972-387-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03391T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT79091Medicare UPIN