Provider Demographics
NPI:1467470633
Name:MACALASDAIR, DANIEL ROE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROE
Last Name:MACALASDAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 RANCH ROAD 620 S BLDG H
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6291
Mailing Address - Country:US
Mailing Address - Phone:512-527-6247
Mailing Address - Fax:
Practice Address - Street 1:1518 RANCH ROAD 620 S BLDG H
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6291
Practice Address - Country:US
Practice Address - Phone:512-527-6247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32135207P00000X
TXK0550207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G27472Medicare UPIN