Provider Demographics
NPI:1114121787
Name:HOWARD, DANIEL EATON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EATON
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 N MO PAC EXPY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2401
Mailing Address - Country:US
Mailing Address - Phone:512-901-4016
Mailing Address - Fax:512-901-3857
Practice Address - Street 1:2400 CEDAR BEND DR
Practice Address - Street 2:AUSTIN DIAGNOSTIC CLINIC
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5378
Practice Address - Country:US
Practice Address - Phone:512-901-4016
Practice Address - Fax:512-901-3857
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0026859208000000X
TXN3737208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204068501Medicaid
TX8L16047Medicare PIN