Provider Demographics
NPI:1780892075
Name:DARYL C CURRIER MD PA
Entity type:Organization
Organization Name:DARYL C CURRIER MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-996-3701
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:STOCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:78160-0098
Mailing Address - Country:US
Mailing Address - Phone:830-216-7979
Mailing Address - Fax:830-216-5972
Practice Address - Street 1:921 10TH ST STE 111
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-1866
Practice Address - Country:US
Practice Address - Phone:830-216-7979
Practice Address - Fax:830-216-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673853207QH0002X
261QP2300X, 261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160025601Medicaid