Provider Demographics
NPI:1760064877
Name:ONZURES, DANIELA (DNP, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:ONZURES
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6704 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-3173
Mailing Address - Country:US
Mailing Address - Phone:432-813-7998
Mailing Address - Fax:
Practice Address - Street 1:807 TRADEWINDS BLVD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-3163
Practice Address - Country:US
Practice Address - Phone:432-400-7586
Practice Address - Fax:432-389-7586
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035832208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1518384973Medicaid
TX1982732178Medicaid