Provider Demographics
NPI:1548766207
Name:HASTINGS, DANIELLE C (PA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:C
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:C
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1009 W SAN ANTONIO ST
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-2421
Mailing Address - Country:US
Mailing Address - Phone:512-376-5247
Mailing Address - Fax:512-376-6252
Practice Address - Street 1:1009 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2421
Practice Address - Country:US
Practice Address - Phone:512-376-5247
Practice Address - Fax:512-376-6252
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11567363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant