Daalon Braundre Echols, M.D.
Individual provider Active NPI Neurology Physician · Manvel, TX
NPI 1619089166 · NPPES record last updated Dec 10, 2018
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 17, 2021.
Key facts
- NPI
- 1619089166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- M4049 (TX)
- Practice address
- 3703 Raven CT
Manvel, TX 77578-3194 - Phone
- (832) 336-4443
- Fax
- (832) 336-4443
- NPI assigned
- Aug 31, 2006
- 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
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M4049 | TX | Yes |
Addresses
Primary practice location
3703 Raven CT
Manvel, TX 77578-3194
Mailing address
3703 Raven CT
Manvel, TX 77578-3194
Phone (832) 336-4443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M4049 | Other | TX | MEDICAL LICENSE |
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.