Provider Demographics
NPI:1326280876
Name:DAIGLE, DEANNA LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LYNN
Last Name:DAIGLE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:STE 570
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4695
Mailing Address - Country:US
Mailing Address - Phone:281-469-4377
Mailing Address - Fax:281-469-7355
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:STE 570
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4695
Practice Address - Country:US
Practice Address - Phone:281-469-4377
Practice Address - Fax:281-469-7355
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04613363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant