Provider Demographics
NPI:1164698221
Name:DANIEL, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:DANIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:118 SHENANDOAH DR STE A
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1203
Mailing Address - Country:US
Mailing Address - Phone:281-583-4000
Mailing Address - Fax:281-719-8302
Practice Address - Street 1:118 SHENANDOAH DR STE A
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77381-1203
Practice Address - Country:US
Practice Address - Phone:281-583-4000
Practice Address - Fax:281-719-8302
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4209208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)