Provider Demographics
NPI:1467497735
Name:JOSEPH DANIELS, DO
Entity Type:Organization
Organization Name:JOSEPH DANIELS, DO
Other - Org Name:SOUTHWEST ORTHOPEDIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MONAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-731-9400
Mailing Address - Street 1:6311 SOUTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76132-1063
Mailing Address - Country:US
Mailing Address - Phone:817-731-9400
Mailing Address - Fax:817-731-4282
Practice Address - Street 1:6311 SOUTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76132-1063
Practice Address - Country:US
Practice Address - Phone:817-731-9400
Practice Address - Fax:817-731-4282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8V9721OtherBCBSTX
8J6577OtherMCGRATH IND MEDICARE #
8V9720OtherBCBSTX
8G9143OtherDANIELS MEDICARE #
8G9143OtherDANIELS MEDICARE #