Provider Demographics
NPI:1922365741
Name:HARVILLE, DANIEL P (FITTER/DISPENSER)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:HARVILLE
Suffix:
Gender:M
Credentials:FITTER/DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 LOOP 236
Mailing Address - Street 2:
Mailing Address - City:QUEEN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75572-2272
Mailing Address - Country:US
Mailing Address - Phone:903-244-5117
Mailing Address - Fax:903-796-9669
Practice Address - Street 1:421 LOOP 236
Practice Address - Street 2:
Practice Address - City:QUEEN CITY
Practice Address - State:TX
Practice Address - Zip Code:75572-2272
Practice Address - Country:US
Practice Address - Phone:903-244-5117
Practice Address - Fax:903-796-9669
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80524237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist