Provider Demographics
NPI:1003965096
Name:WASHBURN, DANIEL S (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:WASHBURN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8815 DYER ST STE 130
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-2037
Mailing Address - Country:US
Mailing Address - Phone:915-757-3937
Mailing Address - Fax:915-757-3946
Practice Address - Street 1:8815 DYER ST STE 130
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-2037
Practice Address - Country:US
Practice Address - Phone:915-757-3937
Practice Address - Fax:915-757-3946
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7022207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology