Provider Demographics
NPI:1912014903
Name:DUMITRU, DANIEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:DUMITRU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UTHSCSA, DEPT. OF REHAB MEDICINE
Mailing Address - Street 2:7703 FLOYD CURL DRIVE, MC 7798
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3900
Mailing Address - Country:US
Mailing Address - Phone:210-567-5347
Mailing Address - Fax:210-567-5354
Practice Address - Street 1:UNIVERSITY HOSPITAL, REEVES O/P CLINIC
Practice Address - Street 2:4502 MEDICAL DRIVE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-2710
Practice Address - Fax:210-358-4740
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9956208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation