Provider Demographics
NPI:1598925588
Name:ANDERSON, DANIEL M (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3420 BIENVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5732
Mailing Address - Country:US
Mailing Address - Phone:228-875-3937
Mailing Address - Fax:228-875-3930
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:NC205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-798-5143
Practice Address - Fax:713-798-3027
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2019-03-14
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Provider Licenses
StateLicense IDTaxonomies
TXR2039207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology