Provider Demographics
NPI:1184119992
Name:THEYS, DANNY L JR
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:L
Last Name:THEYS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12940 SAN FELIPPO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:TX
Mailing Address - Zip Code:78593-2296
Mailing Address - Country:US
Mailing Address - Phone:956-778-3225
Mailing Address - Fax:
Practice Address - Street 1:12940 SAN FELIPPO RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:TX
Practice Address - Zip Code:78593-2296
Practice Address - Country:US
Practice Address - Phone:956-778-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353626164W00000X, 164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse