Provider Demographics
NPI:1134466063
Name:CAWOOD, DANIELLE JADE (CNIM)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:JADE
Last Name:CAWOOD
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 NORTHWEST HWY
Mailing Address - Street 2:APT 1210
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3669
Mailing Address - Country:US
Mailing Address - Phone:214-934-6802
Mailing Address - Fax:
Practice Address - Street 1:25 HIGHLAND PARK VLG STE 100-225
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-2789
Practice Address - Country:US
Practice Address - Phone:214-536-1647
Practice Address - Fax:214-580-7600
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1808246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic