Provider Demographics
NPI:1093782443
Name:OAS, DANIEL R (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:OAS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3444 MASONIC DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301
Mailing Address - Country:US
Mailing Address - Phone:318-473-9556
Mailing Address - Fax:318-441-8339
Practice Address - Street 1:MID STATE ORTHOAPEDIC AND SPORTS MEDICINE CENTER, LLC
Practice Address - Street 2:3444 MASONIC DRIVE
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301
Practice Address - Country:US
Practice Address - Phone:318-473-9556
Practice Address - Fax:318-441-8339
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2023-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 9659207X00000X
LADO.000118207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1031453Medicaid