Provider Demographics
NPI:1902007768
Name:KEY, DANIELLE (DANIELLE KEY, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:KEY
Suffix:
Gender:F
Credentials:DANIELLE KEY, PA-C
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:GRANDINETTI
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DANIELLE KEY, PA-C
Mailing Address - Street 1:21005 HADDINGTON CV
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5388
Mailing Address - Country:US
Mailing Address - Phone:512-983-2620
Mailing Address - Fax:
Practice Address - Street 1:500 W WHITESTONE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2245
Practice Address - Country:US
Practice Address - Phone:512-250-3900
Practice Address - Fax:512-249-6232
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04627363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant