Provider Demographics
NPI:1801374525
Name:MCDANEL, HUGH
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:
Last Name:MCDANEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15310 STATE HIGHWAY 317
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:TX
Mailing Address - Zip Code:76557-3252
Mailing Address - Country:US
Mailing Address - Phone:254-813-5177
Mailing Address - Fax:
Practice Address - Street 1:15310 STATE HIGHWAY 317
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:TX
Practice Address - Zip Code:76557-3252
Practice Address - Country:US
Practice Address - Phone:254-813-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty