Provider Demographics
NPI:1720062862
Name:IRONS, DANIEL ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANTHONY
Last Name:IRONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11711 HERMITAGE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3718
Mailing Address - Country:US
Mailing Address - Phone:501-379-8971
Mailing Address - Fax:501-379-8976
Practice Address - Street 1:11711 HERMITAGE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3718
Practice Address - Country:US
Practice Address - Phone:501-379-8971
Practice Address - Fax:501-379-8976
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33503207ZP0102X
CAG87193207ZP0102X
CO43254207ZP0102X
FLME90882207ZP0102X
GA056844207ZP0102X
IN01038592A207ZP0102X
LA15482R207ZP0102X
MO2005029535207ZP0102X
NC200401517207ZP0102X
SC27692207ZP0102X
TXJ9105207ZP0102X
ALM.-28763207ZP0102X
ARE-6317207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101441701Medicaid
TX8203M1OtherBCBS
TX101441701Medicaid
TXE50103Medicare UPIN