Daniel Badillo
Individual provider Active NPI Dental Hygienist · Alvin, TX
NPI 1023487253 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1023487253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 18484 (TX)
- Practice address
- 1111 W Adoue St
Alvin, TX 77511-2718 - Phone
- (281) 824-1480
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18484 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 18484 | TX | Yes |
Addresses
Primary practice location
1111 W Adoue St
Alvin, TX 77511-2718
Mailing address
1111 W Adoue St
Alvin, TX 77511-2718
Phone (281) 824-1480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18484 | Other | TX | CREDENTIALING |
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.