MEDICARE: DANIEL O MCAFFEE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	692076	TX
2	213EP1101X	Primary Podiatric Medicine Podiatrist	692076	TX
3	213ER0200X	Radiology Podiatrist	692076	TX
4	213EP0504X	Public Medicine Podiatrist	692076	TX
5	213ES0000X	Sports Medicine Podiatrist	692076	TX

General Provider Information

NPI Number	:	1023403078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL O MCAFFEE DPM

Provider Business Mailing Address
First Line	:	1335 GERONIMO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1836
Country	:	US
Telephone Number	:	915-591-2704
Fax Number	:	915-598-3946

Provider Business Practice Location Address
First Line	:	8030 N LOOP DR BLDG C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-3226
Country	:	US
Telephone Number	:	915-591-2704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	09/20/2023

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