Provider Demographics
NPI:1508809864
Name:ROCKDALE VETERINARY CLINIC
Entity Type:Organization
Organization Name:ROCKDALE VETERINARY CLINIC
Other - Org Name:STEVEN DANIELS DVM
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:512-446-2822
Mailing Address - Street 1:618 W US HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:ROCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76567-5269
Mailing Address - Country:US
Mailing Address - Phone:512-446-2822
Mailing Address - Fax:512-446-2822
Practice Address - Street 1:618 W US HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:ROCKDALE
Practice Address - State:TX
Practice Address - Zip Code:76567-5269
Practice Address - Country:US
Practice Address - Phone:512-446-2822
Practice Address - Fax:512-446-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEXAS 5464174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty