Provider Demographics
NPI:1376194001
Name:HAVING, DANIEL GREGORY
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:GREGORY
Last Name:HAVING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 SOUTHERN CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7687
Mailing Address - Country:US
Mailing Address - Phone:210-328-3812
Mailing Address - Fax:
Practice Address - Street 1:5112 SOUTHERN CROSSING DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-7687
Practice Address - Country:US
Practice Address - Phone:210-328-3812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330667164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse