Provider Demographics
NPI:1952348823
Name:METZGER, DANIEL NEIL (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:NEIL
Last Name:METZGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-2329
Mailing Address - Country:US
Mailing Address - Phone:214-330-0137
Mailing Address - Fax:214-333-7343
Practice Address - Street 1:401 HOSPITAL DR # 140
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2415
Practice Address - Country:US
Practice Address - Phone:903-201-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6432207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138714405Medicaid
TX138714405Medicaid
TX8913J1Medicare PIN
E29334Medicare UPIN