Provider Demographics
NPI:1346354628
Name:MAIRE, DANIEL J (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MAIRE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:750 SCHNEIDER RD
Mailing Address - Street 2:STE. 170
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108
Mailing Address - Country:US
Mailing Address - Phone:210-566-7873
Mailing Address - Fax:210-566-8799
Practice Address - Street 1:750 SCHNEIDER RD
Practice Address - Street 2:STE. 170
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108
Practice Address - Country:US
Practice Address - Phone:210-566-7873
Practice Address - Fax:210-566-8799
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X1130OtherBLUE CROSS ID NUMBER