Provider Demographics
NPI:1912078858
Name:ARTIS, DANIELLEE LYNETTEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLEE
Middle Name:LYNETTEE
Last Name:ARTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 RENWICK DR
Mailing Address - Street 2:APT 989
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1538
Mailing Address - Country:US
Mailing Address - Phone:713-667-4278
Mailing Address - Fax:
Practice Address - Street 1:5402 RENWICK DR
Practice Address - Street 2:APT 989
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1538
Practice Address - Country:US
Practice Address - Phone:713-667-4278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics