Individual provider Active NPI

Daniel Lawrence Quan, D.O.

  • Family Medicine Physician
  • Trinity, TX
National Provider Identifier
1164041141
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V2814 Issued in TX
Practice address
315 Prospect Dr
Trinity, TX 75862-6202
Phone
(936) 577-4948
NPI assigned
Apr 10, 2020
Reactivated
Apr 20, 2021
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V2814 TX Primary

Addresses

Primary practice location

315 Prospect Dr
Trinity, TX 75862-6202

Mailing address

315 Prospect Dr
Trinity, TX 75862-6202
Phone (936) 744-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001163 TX Practitioner - Family Practice 4789125907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 Prospect Dr
Trinity, TX 75862-6202
Phone (936) 744-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
V2814TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Coast Medical Center - Trinity Family Medicine CurrentSince Jan 23, 2025 Accepting new patients
Mid Coast Medical Center - Trinity CurrentSince Jan 23, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc Past Accepting new patients
Chambers County Public Hospital District No 1 Past Accepting new patients

Locations

1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

315 Prospect Dr
Trinity, TX 75862
Phone (936) 594-3595

317 Prospect Dr
Trinity, TX 75862
Phone (936) 594-3541

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1164041141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PROSPECT DR",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758626202",
            "telephone_number": "936-744-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PROSPECT DR",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758626202",
            "telephone_number": "936-577-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "DANIEL",
        "middle_name": "LAWRENCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "deactivation_date": "2021-03-27",
        "reactivation_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, TX

Sources for this page

Verify at the official NPI Registry.