Ronald L Daniels DO PA
Organization Active NPI Primary Care Clinic/Center · Quitman, TX
NPI 1992010557 · NPPES record last updated Sep 23, 2010
Key facts
- NPI
- 1992010557
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- E3246 (TX)
- Legal business name
- RONALD L DANIELS DO PA
- Practice address
- 117 N Winnsboro St
Quitman, TX 75783-2144 - Phone
- (903) 763-2218
- Fax
- (903) 763-4308
- NPI assigned
- Aug 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Ron Lane Daniels, D.O.
- Title
- Physician
- Phone
- (903) 763-2218
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | E3246 | TX | Yes |
Addresses
Primary practice location
117 N Winnsboro St
Quitman, TX 75783-2144
Mailing address
PO Box 895
Quitman, TX 75783-0895
Phone (903) 763-2218
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115843802 | Medicaid | TX |
Other providers in Quitman, TX
- Quitman Hospital LLC
- Quitman Isd
- Quitman Nursing and Rehab Center, LLC
- Quitman Therapy and Rehabilitation
- Reflections Hospice of Texas LLC
- Tracy Rose-Downing
- Scott'S Quitman Pharmacy, LLC
- Scott'S Quitman Pharmacy, LLC
- Marykay Shepherd
- John Mayton Simmons
All providers in Quitman, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2010. 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.