Daniel Craig Waters
Individual provider Active NPI Pharmacist · Quinlan, TX
NPI 1861960700 · NPPES record last updated Nov 8, 2018
Key facts
- NPI
- 1861960700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33146 (TX)
- Practice address
- 733 E Quinlan Pkwy
Quinlan, TX 75474-8641 - Phone
- (903) 356-2449
- Fax
- (903) 356-4797
- NPI assigned
- Nov 8, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 33146 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quinlan Pharmacy LLC | Current |
Accepting new patients | |
| Quinlan Pharmacy LLC | Current |
Accepting new patients |
Locations
733 E Quinlan Pkwy
Quinlan, TX 75474
Phone (903) 356-2449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33146 | TX | Yes |
Addresses
Primary practice location
733 E Quinlan Pkwy
Quinlan, TX 75474-8641
Mailing address
317 Reagan CT
Royse City, TX 75189-6449
Phone (903) 356-2449
Other providers in Quinlan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2018. 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.