MEDICARE: FAITH DANIEL

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	363LF0000X	Family Nurse Practitioner	1000667	TX

General Provider Information

NPI Number	:	1376496380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH DANIEL

Provider Business Mailing Address
First Line	:	2103 PRIMROSE TRL
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2629
Country	:	US
Telephone Number	:	817-240-2037
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 MUELLER BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3051
Country	:	US
Telephone Number	:	512-324-0000
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ FAITH DANIEL ” Practice Location

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