Provider Demographics
NPI:1558552745
Name:WEGLEIN, DANIEL GIDEON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GIDEON
Last Name:WEGLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5236 W UNIVERSITY DR
Mailing Address - Street 2:2000
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7889
Mailing Address - Country:US
Mailing Address - Phone:469-800-5220
Mailing Address - Fax:469-800-5011
Practice Address - Street 1:5236 W UNIVERSITY DR
Practice Address - Street 2:2000
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7889
Practice Address - Country:US
Practice Address - Phone:469-800-5220
Practice Address - Fax:469-800-5011
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10029082207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX336538901Medicaid
TX336538901Medicaid