Provider Demographics
NPI:1558692137
Name:JAMES, DANIEL FLOYD (BS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FLOYD
Last Name:JAMES
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:OK
Mailing Address - Zip Code:74825-0233
Mailing Address - Country:US
Mailing Address - Phone:580-916-1763
Mailing Address - Fax:
Practice Address - Street 1:705 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-1734
Practice Address - Country:US
Practice Address - Phone:580-371-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor