Provider Demographics
NPI:1043211329
Name:RASOR, DANIEL L (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:RASOR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5424 W HIGHWAY 290 STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8838
Mailing Address - Country:US
Mailing Address - Phone:512-799-9421
Mailing Address - Fax:833-428-8260
Practice Address - Street 1:5424 W HIGHWAY 290 STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8838
Practice Address - Country:US
Practice Address - Phone:512-799-9421
Practice Address - Fax:833-428-8260
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5354207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D87475Medicare UPIN
260583YLCDMedicare PIN