Provider Demographics
NPI:1073553988
Name:TARNOWSKI, DANIEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:TARNOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028
Mailing Address - Country:US
Mailing Address - Phone:830-896-2273
Mailing Address - Fax:830-896-2673
Practice Address - Street 1:832 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-896-2273
Practice Address - Fax:830-896-2673
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608099OtherBCBSTX
TX608099OtherBCBSTX
TX311365Medicare ID - Type Unspecified