Robert C. McDaniel, M.D.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

D-5133 Issued in TX

Legal business name

ROBERT C. MCDANIEL, M.D.

Practice address

2101 W Loop 281
Longview, TX 75604-2506

Phone

(903) 248-0494

Fax

(903) 248-9137

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carolyn S. McDaniel

Title

Administrative Secretary

Phone

(903) 248-0494

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1073815932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042506",
            "telephone_number": "903-248-0494",
            "fax_number": "903-248-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042506",
            "telephone_number": "903-248-0494",
            "fax_number": "903-248-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. MCDANIEL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "903-248-0494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "D-5133",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "D-5133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Longview, TX
• Providers in Longview, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.