Provider Demographics
NPI:1740238690
Name:DANSBY, DANIEL MILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MILTON
Last Name:DANSBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE A 103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2505
Mailing Address - Country:US
Mailing Address - Phone:972-566-7600
Mailing Address - Fax:972-566-6560
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE A 103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-7600
Practice Address - Fax:972-566-6560
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8122207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100156480AMedicaid
TX131896605Medicaid
TX872111OtherBLUE CROSS BLUE SHIELD
OK100156480AMedicaid
TX131896605Medicaid
TXB22116Medicare UPIN