Provider Demographics
NPI:1205540333
Name:DANIELS, VICTORIA (DC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W OREM DR APT 1131
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4772
Mailing Address - Country:US
Mailing Address - Phone:504-316-4846
Mailing Address - Fax:
Practice Address - Street 1:9203 S TEXAS 6
Practice Address - Street 2:SUITE #118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7708
Practice Address - Country:US
Practice Address - Phone:713-730-2615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor