Provider Demographics
NPI:1790097087
Name:CHELIUS, DANIEL CHARLES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHARLES
Last Name:CHELIUS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 TANGLEWILDE ST
Mailing Address - Street 2:160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2100
Mailing Address - Country:US
Mailing Address - Phone:713-781-9660
Mailing Address - Fax:713-974-3672
Practice Address - Street 1:2500 TANGLEWILDE ST
Practice Address - Street 2:160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2100
Practice Address - Country:US
Practice Address - Phone:713-781-9660
Practice Address - Fax:713-974-3672
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2013-08-02
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Provider Licenses
StateLicense IDTaxonomies
MO2010015930207YP0228X
KS04-35115207YP0228X
TXP2212207YP0228X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB153355Medicare UPIN